Active NPI
Vivian Perez-Gomez, M.D.
- Emergency Medicine Physician
- Ponce, PR
National Provider Identifier
1699055772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 18606
- Practice address
- Calle Guadalupe Final, Departamento de Emergencia
Hospital San Lucas
Ponce, PR 00731 - Phone
- (787) 844-2080
- NPI assigned
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 18606 | PR | Primary |
Addresses
Primary practice location
Calle Guadalupe Final, Departamento de Emergencia
Hospital San Lucas
Ponce, PR 00731
Mailing address
Calle Guadalupe Final, Departamento de Emergencia
Hospital San Lucas
Ponce, PR 00731
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18606 | PR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| VI-P Services PSC | Emergency Medicine | Current | Accepting new patients |
| Centro Medico del Turabo Inc | Current | Accepting new patients |
Locations
70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Bayamon, PR
- NPI 1770353377
-
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
-
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1699055772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE GUADALUPE FINAL, DEPARTAMENTO DE EMERGENCIA",
"address_2": "HOSPITAL SAN LUCAS",
"city": "PONCE",
"state": "PR",
"postal_code": "00731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE GUADALUPE FINAL, DEPARTAMENTO DE EMERGENCIA",
"address_2": "HOSPITAL SAN LUCAS",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-844-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-GOMEZ",
"first_name": "VIVIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "18606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.