Edgar Ivan Perez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2754 Issued in PR

Practice address

5 Calle Rio N
Mayaguez, PR 00680-4815

Phone

(787) 805-3665

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Edgar Perez Dental Office PSC

  • General Practice Dentistry
  • Mayaguez, PR
  • NPI 1235362229
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1730215773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALLE RIO N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804815",
            "telephone_number": "787-413-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE RIO N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804815",
            "telephone_number": "787-805-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EDGAR",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida Velez Perez, RN
• Ana Isabel Perez
• Angela L Perez, PHARMD
• Armando Luis Perez, MD
• Carlos W Perez
• Elba I Perez, MS, CCC-SLP
• Isabel Asad Perez, MT
• Jonathan Alexis Perez, D.C
• Luis A Perez, DMD, MS.
• Naomi Alexandra Perez, MD

• General Practice Dentistry in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.