Individual provider Active NPI

Yasmin Pereles-Rivera, -M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1710959663
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9732 Issued in PR
Practice address
207 Ave Domenech
Suite 105
San Juan, PR 00918-3523
Phone
(787) 274-1548
Fax
(787) 274-1548
NPI assigned
Feb 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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 9732 PR Primary

Addresses

Primary practice location

207 Ave Domenech
Suite 105
San Juan, PR 00918-3523

Mailing address

PO Box 6643
Bayamon, PR 00960-5643
Phone (787) 274-1548

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
I20110218000314 PR Practitioner - General Practice 3375724727 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Domenech
207 Suite 105
San Juan, PR 00918-3525
Phone (787) 274-1548

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1139097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1710959663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6643",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605643",
            "telephone_number": "787-274-1548",
            "fax_number": "787-274-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 AVE DOMENECH",
            "address_2": "SUITE 105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183523",
            "telephone_number": "787-274-1548",
            "fax_number": "787-274-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELES-RIVERA",
        "first_name": "YASMIN",
        "credential": "-M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-05",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.