Active NPI
Julio Perez Rodriguez, M.D.
- Personal Emergency Response Attendant
- Carolina, PR
National Provider Identifier
1831145143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- 14710
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21445 PE | Other | PR | S.S.S. |
Other names 1
- Julio Perez Rodriguez
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14710 | PR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lba Medical Services Inc | Past | 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.
-
- Emergency Care Clinic/Center
- Canovanas, PR
- NPI 1710354899
-
dba Grupo Medico San Gerardo
- General Practice Physician
- San Juan, PR
- NPI 1144224874
-
- Anesthesiology Physician
- San Juan, PR
- NPI 1437332624
-
- General Practice Physician
- Canovanas, PR
- NPI 1609917848
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.