Individual provider Active NPI

Juan Ovidio Perez-Rodriguez, MD

  • Pediatric Nephrology Physician
  • San Juan, PR
National Provider Identifier
1831129279
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
6541 Issued in PR
Practice address
Ponce de Leon Ave. , Auxilio Mutuo Hospital
Transplant Office , 2ND. Floor
San Juan, PR 00919-1227
Phone
(787) 754-4911
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 6541 PR Primary

Addresses

Primary practice location

Ponce de Leon Ave. , Auxilio Mutuo Hospital
Transplant Office , 2ND. Floor
San Juan, PR 00919-1227

Mailing address

9 Emajagua St. Cond. Emajagua Apt 5a
Punta Las Marias
San Juan, PR 00913
Phone (787) 754-4911

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
I20120725000103 PR Practitioner - Pediatric MedicinePractitioner - Other (Physician) 8123284825 Practice locations: San Juan, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1831129279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EMAJAGUA ST. COND. EMAJAGUA APT 5A",
            "address_2": "PUNTA LAS MARIAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00913",
            "telephone_number": "787-754-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PONCE DE LEON AVE. , AUXILIO MUTUO HOSPITAL",
            "address_2": "TRANSPLANT OFFICE , 2ND. FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227",
            "telephone_number": "787-754-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "OVIDIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "PR",
            "license": "6541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.