Individual provider Active NPI

Julio Perez Rodriguez, M.D.

  • Personal Emergency Response Attendant
  • Carolina, PR
National Provider Identifier
1831145143
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
14710 Issued in PR
Practice address
221 Calle Urayoan
Los Caciques
Carolina, PR 00987-8714
Phone
(787) 768-7026
Fax
(787) 768-7026
NPI assigned
May 26, 2006
Last updated
Jul 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 14710 PR Primary

Addresses

Primary practice location

221 Calle Urayoan
Los Caciques
Carolina, PR 00987-8714

Mailing address

221 Urayoan
Los Caciques
Carolina, PR 00987-8714
Phone (778) 777-7353

Other identifiers 1

IdentifierTypeStateIssuer
21445 PEOtherPRS.S.S.

Other names 1

  • Julio Perez Rodriguez Professional name

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
I20040806000107 PR Practitioner - General Practice 1254303753 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14710PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lba Medical Services Inc PastSince Sep 5, 2017 Accepting new patients
Prestige Medical Group Ljcpsc Past Accepting new patients
SM Medical Services, CSP Past Accepting new patients
Canovanas Medical Center CSP Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1831145143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 URAYOAN",
            "address_2": "LOS CACIQUES",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878714",
            "telephone_number": "778-777-7353",
            "fax_number": "787-777-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 CALLE URAYOAN",
            "address_2": "LOS CACIQUES",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878714",
            "telephone_number": "787-768-7026",
            "fax_number": "787-768-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ RODRIGUEZ",
        "first_name": "JULIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "14710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "S.S.S.",
            "identifier": "21445 PE",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIO",
            "last_name": "PEREZ RODRIGUEZ",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.