David Rafael Perez Pantoja, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17236 Issued in PR

Practice address

FP39 Calle Mariano Brau
Levittown
Toa Baja, PR 00949-2843

Phone

(787) 243-5664

NPI assigned

Jul 29, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1679739692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. 65 INFANTRY KM 4.0",
            "address_2": "SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-243-5664",
            "fax_number": "787-274-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FP39 CALLE MARIANO BRAU",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009492843",
            "telephone_number": "787-243-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PANTOJA",
        "first_name": "DAVID",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pelletier
• Elizabeth Pena Payero, PSY.D
• Noemi Camille Perdomo, CPL
• Hector Perez Avila
• Nicolle Yarie Perez Ayala, PHARMD
• Samuel Eduardo Perez Rivera, PHD
• Karla L Perez, PHARMACIST
• Nicole Alexandra Perez, PHARMD
• Raysha Marie Perez, DC
• Rita Marielle Perez, SLP

• General Practice Physician in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.