Individual provider Active NPI

Brenda Margarita Torres Perez, M.D.

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1700861291
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16093 Issued in PR
Practice address
Parque Industrial Ave. El Jibaro Office 105
Centro de Salud Familiar Cidra
Cidra, PR 00739
Phone
(787) 739-6688
Fax
(787) 739-6688
NPI assigned
Dec 7, 2005
Last updated
Mar 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 16093 PR
General Practice Physician 208D00000X 16093 PR Primary

Addresses

Primary practice location

Parque Industrial Ave. El Jibaro Office 105
Centro de Salud Familiar Cidra
Cidra, PR 00739

Mailing address

Centro de Salud Familiar Hospital Menonita
Ave. Industrial El Jibaro Oficina #105
Cidra, PR 00739
Phone (787) 739-6688

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
I20051229000315 PR Practitioner - General Practice 8426070848 Practice locations: Cidra, PR; Guaynabo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16093PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1700861291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRO DE SALUD FAMILIAR HOSPITAL MENONITA",
            "address_2": "AVE. INDUSTRIAL EL JIBARO OFICINA #105",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-6688",
            "fax_number": "787-739-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARQUE INDUSTRIAL AVE. EL JIBARO OFFICE 105",
            "address_2": "CENTRO DE SALUD FAMILIAR CIDRA",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-6688",
            "fax_number": "787-739-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES PEREZ",
        "first_name": "BRENDA",
        "middle_name": "MARGARITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "16093",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.