Individual provider Active NPI

Jose M Feliciano Perez, M.D.

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1831118488
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7394 Issued in PR
Practice address
Antiguo Hospital San Lucas
Calle Guadalupe Final
Ponce, PR 00733
Phone
(787) 842-3352
Fax
(787) 842-3352
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7394 PR Primary

Addresses

Primary practice location

Antiguo Hospital San Lucas
Calle Guadalupe Final
Ponce, PR 00733

Mailing address

PO Box 1282
Penuelas, PR 00624-1282
Phone (787) 842-3352

Other identifiers 3

IdentifierTypeStateIssuer
212194OtherPRPREFERRED HEALTH
3576OtherPRPREFERRED MEDICARE CHOICE
28571OtherPRTRIPLE S

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
I20101116000624 PR Practitioner - Internal Medicine 9436344488 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Antiguo Hospital San Lucas
Ponce, PR 00733
Phone (787) 842-3352

Antiguo Hospital San Lucas
Calle Guadalupe Final
Ponce, PR 00733

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7394PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion Cardiovascular del Sur de Puerto Rico, Inc. PastSince Dec 18, 2016 Accepting new patients

Organizations & group practices 1

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1831118488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1282",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006241282",
            "telephone_number": "787-842-3352",
            "fax_number": "787-842-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANTIGUO HOSPITAL SAN LUCAS",
            "address_2": "CALLE GUADALUPE FINAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00733",
            "telephone_number": "787-842-3352",
            "fax_number": "787-842-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO PEREZ",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "212194",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "3576",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "28571",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.