Individual provider Active NPI

Lines Maria Perez, M.D.

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1821060971
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
13101 Issued in PR
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

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031112000732 PR Practitioner - Psychiatry 6204740491 Reassigns benefits to 2 organizations
Practice locations: Gurabo, PR

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

LicenseStateTypeSpecialty
13101PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
N.O.R. Community Mental Health, Corp. CurrentSince Mar 4, 2020 Accepting new patients
A.P. Community Mental Services, Corp. CurrentSince Mar 4, 2020 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.

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

Verify at the official NPI Registry.