Active NPI
Lines Maria Perez, M.D.
- Psychiatry Physician
- San Juan, PR
National Provider Identifier
1821060971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 13101
- Practice address
- 389 Calle Eleonor Roosevelt
Hato Rey
San Juan, PR 00918-2108 - Phone
- (787) 250-9701
- Fax
- (787) 759-9136
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 13101 | PR | Primary |
Addresses
Primary practice location
389 Calle Eleonor Roosevelt
Hato Rey
San Juan, PR 00918-2108
Mailing address
Bulevar Paseos
MSC 342 Suite 112
San Juan, PR 00926
Phone (787) 645-3309
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Puerto Rico School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22 0 Carr 198 KM Bo Montones I
Las Piedras, PR 00771
Phone (787) 716-0050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13101 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N.O.R. Community Mental Health, Corp. | Current | Accepting new patients | |
| A.P. Community Mental Services, Corp. | Current | Accepting new patients | |
| N.O.R. Community Mental Health, Corp. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Piedras, PR
- NPI 1306175500
-
- Adult Mental Health Clinic/Center
- Las Piedras, PR
- NPI 1659337699
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Piedras, PR
- NPI 1871040212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1821060971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BULEVAR PASEOS",
"address_2": "MSC 342 SUITE 112",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-645-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 CALLE ELEONOR ROOSEVELT",
"address_2": "HATO REY",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182108",
"telephone_number": "787-250-9701",
"fax_number": "787-759-9136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LINES",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "13101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.