Active NPI
Edwin H Perez Loran, M.D.
- General Practice Physician
- Manati, PR
National Provider Identifier
1790823946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16581
- Practice address
- B23 Calle 3
Manati, PR 00674-5409 - Phone
- (787) 413-5736
- Fax
- (787) 884-4022
- NPI assigned
- Feb 1, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16581 | PR | Primary |
Addresses
Primary practice location
B23 Calle 3
Manati, PR 00674-5409
Mailing address
Urb Costa Brava Calle Finche 294
Isabela, PR 00662
Phone (787) 413-5736
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16581 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790823946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB COSTA BRAVA CALLE FINCHE 294",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-413-5736",
"fax_number": "787-884-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B23 CALLE 3",
"city": "MANATI",
"state": "PR",
"postal_code": "006745409",
"telephone_number": "787-413-5736",
"fax_number": "787-884-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ LORAN",
"first_name": "EDWIN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.