Victor A Berdecia Perez, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

11442 Issued in PR

Practice address

2435 Ave Las Americas
Hosp Dr Pila Dept de Radiologia
Ponce, PR 00733

Phone

(787) 848-5600

Fax

(787) 843-9320

NPI assigned

Mar 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialty

Diagnostic Radiology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Menonita Caguas Inc Hospital, Caguas, PR, CCN 400104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Medicare reassignment Care Compare group NPD
• Hospital Menonita de Cayey

  dba Grupo Medico Menonita de Cayey

  • Specialist
  • Cayey, PR
  • NPI 1255461893

  Diagnostic Radiology

  NPD
• Ponce Diagnostic Radiology Center CSP

  • Diagnostic Radiology Physician
  • Ponce, PR
  • NPI 1508994864
  NPD (past)
• Sociedad Radiologica del Caribe

  • Diagnostic Radiology Physician
  • Ponce, PR
  • NPI 1740306570
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Menonita Caguas Inc

  • General Acute Care Hospital
  • Caguas, PR
  • NPI 1003185455
  Care Compare affiliation

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710019153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801143",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801143",
            "telephone_number": "787-843-9320",
            "fax_number": "787-843-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 AVE LAS AMERICAS",
            "address_2": "HOSP DR PILA DEPT DE RADIOLOGIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00733",
            "telephone_number": "787-848-5600",
            "fax_number": "787-843-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDECIA PEREZ",
        "first_name": "VICTOR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "11442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos F Benitez, D.M.D.
• Evelyn S Benitez
• Graciela Maria Benitez
• Garrison Bentz
• Sonia Beovides Perez, DMD
• Luis Antonio Berdecia Sr.
• Berdiel & Asociados CSP
• Miguel Jabbar Berdiel-Aponte, MD
• Jessica Maria Berenguer
• Natalia Marie Berlingeri-Aymat

• Diagnostic Radiology Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.