Individual provider Active NPI

Julio A Perez Briones

  • General Practice Physician
  • Aibonito, PR
National Provider Identifier
1689688202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14295 Issued in PR
Practice address
Calle Baldorioty #52
Aibonito, PR 00705
Phone
(787) 991-3222
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14295 PR Primary

Addresses

Primary practice location

Calle Baldorioty #52
Aibonito, PR 00705

Mailing address

CN6 Calle 9
Urb. Bairoa
Caguas, PR 00725-1422
Phone (787) 381-7458

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040218000085 PR Practitioner - General Practice 8628963709 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Integrado Medico de Aibonito CurrentSince Feb 1, 2003 Accepting new patients
Centro de Salud Integral Caguas Past Accepting new patients
Providers Network Corporation Past Accepting new patients
SPM Doctors Services Group PSC Past Accepting new patients

Locations

203 Calle Julio Cintron
Aibonito, PR 00705
Phone (787) 735-6391

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689688202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CN6 CALLE 9",
            "address_2": "URB. BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251422",
            "telephone_number": "787-381-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BALDORIOTY #52",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-991-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ BRIONES",
        "first_name": "JULIO",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.