Individual provider Active NPI

Vianny Nieves Perez, MD

  • General Practice Physician
  • San Lorenzo, PR
National Provider Identifier
1750442497
Registry record updated Dec 13, 2012
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15199 Issued in PR
Practice address
150 Calle Tous Soto S
Suite #2
San Lorenzo, PR 00754-3923
Phone
(787) 937-7700
Fax
(787) 937-7700
NPI assigned
Dec 13, 2006
Last updated
Dec 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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 15199 PR Primary

Addresses

Primary practice location

150 Calle Tous Soto S
Suite #2
San Lorenzo, PR 00754-3923

Mailing address

Alturas de San Lorenzo
Calle 5B Num G47
San Lorenzo, PR 00754
Phone (787) 715-3620

Other names 1

  • Dr. Vianny Nieves Perez Professional name

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
I20050627001255 PR Practitioner - General Practice 0244275535 Practice locations: Humacao, PR; San Lorenzo, PR

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1750442497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALTURAS DE SAN LORENZO",
            "address_2": "CALLE 5B NUM G47",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-715-3620",
            "fax_number": "787-737-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CALLE TOUS SOTO S",
            "address_2": "SUITE #2",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007543923",
            "telephone_number": "787-937-7700",
            "fax_number": "787-937-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES PEREZ",
        "first_name": "VIANNY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIANNY",
            "last_name": "NIEVES PEREZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Lorenzo, PR

Sources for this page

Verify at the official NPI Registry.