Individual provider Active NPI

Gilberto Luis Perez, DENTIST

  • General Practice Dentistry
  • Guaynabo, PR
National Provider Identifier
1801971312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1644 Issued in PR
Practice address
2126 Calle Sirce
Alto Apolo
Guaynabo, PR 00969-4935
Phone
(787) 789-5168
Fax
(787) 767-2202
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1644 PR Primary

Addresses

Primary practice location

2126 Calle Sirce
Alto Apolo
Guaynabo, PR 00969-4935

Mailing address

2126 Calle Sirce
Alto Apolo
Guaynabo, PR 00969-4935
Phone (787) 789-5168

Other names 1

  • Dr. Gilberto Luis Perez Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1644PRMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801971312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 CALLE SIRCE",
            "address_2": "ALTO APOLO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694935",
            "telephone_number": "787-789-5168",
            "fax_number": "787-767-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 CALLE SIRCE",
            "address_2": "ALTO APOLO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694935",
            "telephone_number": "787-789-5168",
            "fax_number": "787-767-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GILBERTO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GILBERTO",
            "last_name": "PEREZ",
            "middle_name": "LUIS",
            "prefix": "DR.",
            "credential": "DENTIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Guaynabo, 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.

Verify at the official NPI Registry.