Active NPI
Ronald E Perez, MD
- Surgery Physician
- Hood River, OR
National Provider Identifier
1720662430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 82-283
- Practice address
- 725 Oak St
Hood River, OR 97031-1813 - Phone
- (505) 690-0114
- NPI assigned
- May 9, 2021
- Last updated
- May 9, 2021
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 82-283 | NM | Primary |
Addresses
Primary practice location
725 Oak St
Hood River, OR 97031-1813
Mailing address
369 Montezuma Ave # 343
Santa Fe, NM 87501-2835
Phone (505) 690-0114
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82-283 | NM | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620518400000",
"number": "1720662430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 MONTEZUMA AVE # 343",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875012835",
"telephone_number": "505-690-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 OAK ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311813",
"telephone_number": "505-690-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "RONALD",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-09",
"last_updated": "2021-05-09",
"certification_date": "2021-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "82-283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.