Active NPI
Alfredo Perez Canabal, MD
- Neurology Physician
- Mayaguez, PR
National Provider Identifier
1780789073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 10522
- Practice address
- Meditacion 60
Mayaguez, PR 00680 - Phone
- (787) 834-0276
- Fax
- (787) 832-3737
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 10522 | PR | Primary |
Addresses
Primary practice location
Meditacion 60
Mayaguez, PR 00680
Mailing address
PO Box 1542
Mayaguez, PR 00681-1542
Phone (787) 834-0276
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100916000611 | PR | Practitioner - Neurology | 1658496401 | Practice locations: Mayaguez, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Puerto Rico School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
60 Calle Meditacion
Mayaguez, PR 00680-4819
Phone (787) 834-0276
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10522 | PR | MD | Neurology Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1083636179
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1821082918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1780789073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1542",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006811542",
"telephone_number": "787-834-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDITACION 60",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-834-0276",
"fax_number": "787-832-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ CANABAL",
"first_name": "ALFREDO",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "10522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.