Active NPI
Pedro A Perez Aybar, MD
- Pediatrics Physician
- Villalba, PR
National Provider Identifier
1699890632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 07918
- Practice address
- Bo Tierra Santa
Carr 149 KM 58.2
Villalba, PR 00766 - Phone
- (787) 847-4667
- Fax
- (787) 847-4868
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 07918 | PR | Primary |
Addresses
Primary practice location
Bo Tierra Santa
Carr 149 KM 58.2
Villalba, PR 00766
Mailing address
609 Ave Tito Castro
PMB 364 Ste 102
Ponce, PR 00716
Phone (787) 847-4667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7918 | PR | MD | Counseling Psychologist |
| 07918 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Pediatria Y Medicina de Familia de Villalba, CSP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Villalba, PR
- NPI 1174566236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1699890632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 AVE TITO CASTRO",
"address_2": "PMB 364 STE 102",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-847-4667",
"fax_number": "787-847-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO TIERRA SANTA",
"address_2": "CARR 149 KM 58.2",
"city": "VILLALBA",
"state": "PR",
"postal_code": "00766",
"telephone_number": "787-847-4667",
"fax_number": "787-847-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ AYBAR",
"first_name": "PEDRO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "07918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Villalba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.