Ernesto Juan Perez, DMD
Individual provider Active NPI Dentist · Corozal, PR
NPI 1801001276 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801001276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 1923 (PR)
- Practice address
- Carr 891 KM 15.1 Bo.Pueblo
Corozal, PR 00783 - Phone
- (787) 859-0035
- Fax
- (787) 859-0070
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1923 | PR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corozal Dental Office | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1923 | PR | Yes |
Addresses
Primary practice location
Carr 891 KM 15.1 Bo.Pueblo
Corozal, PR 00783
Mailing address
HC-01 Box. 3021 Bo. Pueblo
Corozal, PR 00783
Phone (787) 859-0035
Other providers in Corozal, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.