Individual provider Active NPI

Armando Luis Perez de Jesus, MD

  • Psychiatry Physician
  • Guayama, PR
National Provider Identifier
1831167964
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9629 Issued in PR
Practice address
128 Calle Ashford S
Ashford Medical Plaza Suite 102
Guayama, PR 00784-5410
Phone
(787) 866-0337
Fax
(787) 866-0337
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 9629 PR Primary

Addresses

Primary practice location

128 Calle Ashford S
Ashford Medical Plaza Suite 102
Guayama, PR 00784-5410

Mailing address

128 Calle Ashford S
Ashford Medical Plaza Suite 102
Guayama, PR 00784-5410
Phone (787) 866-0337

Other identifiers 2

IdentifierTypeStateIssuer
82659OtherPRSSS
060593OtherPRCA

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
I20130725000770 PR Practitioner - Psychiatry 4789825282 Practice locations: Guayama, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 Calle Ashford S
Guayama, PR 00784-5421
Phone (787) 866-0337

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1831167964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CALLE ASHFORD S",
            "address_2": "ASHFORD MEDICAL PLAZA SUITE 102",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845410",
            "telephone_number": "787-866-0337",
            "fax_number": "787-866-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CALLE ASHFORD S",
            "address_2": "ASHFORD MEDICAL PLAZA SUITE 102",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845410",
            "telephone_number": "787-866-0337",
            "fax_number": "787-866-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DE JESUS",
        "first_name": "ARMANDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "9629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "82659",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA",
            "identifier": "060593",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.