Individual provider Active NPI

Maria Eloisa Perez Grau, MD

  • Hematology & Oncology Physician
  • San Juan, PR
National Provider Identifier
1821065855
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
13570 Issued in PR
Practice address
1429 Ave Fernandez Juncos
Suite 4
San Juan, PR 00909-2658
Phone
(787) 946-4401
Fax
(787) 946-4490
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X 13570 PR Primary
Hematology & Oncology Physician 207RH0003X 13270 PR

Addresses

Primary practice location

1429 Ave Fernandez Juncos
Suite 4
San Juan, PR 00909-2658

Mailing address

PO Box 11367
San Juan, PR 00910
Phone (787) 946-4401

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
I20040807000034 PR Practitioner - Hematology/OncologyPractitioner - Hematology 2062484439 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Ponce School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1429 Fernandez Juncos Ave
Suite 4
San Juan, PR 00910-0001
Phone (787) 946-4401

Hospital & facility affiliations

  • Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019
  • Doctors' Center Hospital San Juan Hospital, Santurce, PR, CCN 400006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13570FLMDClinical Social Worker
13270PRMDHematology & Oncology Physician
13570PRMDHematology & Oncology Physician

Interoperability endpoints

  • Direct secure messaging: mperezgrau@2639.securemail.prognocis.com
  • Direct secure messaging: mariaperezgrau@2621.securemail.prognocis.com
  • Direct secure messaging: maria_perez_grau@yourcarecommunity.org

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1821065855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11367",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-946-4401",
            "fax_number": "787-946-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 AVE FERNANDEZ JUNCOS",
            "address_2": "SUITE 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092658",
            "telephone_number": "787-946-4401",
            "fax_number": "787-946-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ GRAU",
        "first_name": "MARIA",
        "middle_name": "ELOISA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "13570",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "13270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.