Individual provider Active NPI

Emily Perez, MD

  • General Practice Physician
  • Rio Piedra, PR
National Provider Identifier
1891346243
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22612 Issued in PR
Practice address
371 De Diego
Rio Piedra, PR 00929-0025
Phone
(787) 767-5100
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 22612 PR Primary

Addresses

Primary practice location

371 De Diego
Rio Piedra, PR 00929-0025

Mailing address

Chalets de Bairoa
Pitirre 61
Caguas, PR 00727-1252
Phone (939) 290-8331

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
I20230908001621 PR Practitioner - General Practice 9436513561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Ambulatory Services IncGroup PAC ID 7810092525, 10 clinicians

Practice addresses (Care Compare)

Plaza del Carmen Mall
Suite 24
Caguas, PR 00725-0072

Plaza del Carmen Mall
Suite 24
Caguas, PR 00726-0072
Phone (787) 286-6060

Hospital & facility affiliations

  • Hospital San Francisco Hospital, San Juan, PR, CCN 400098

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22612PRMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: emily.perezrivera@4048.securemail.prognocis.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1891346243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHALETS DE BAIROA",
            "address_2": "PITIRRE 61",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271252",
            "telephone_number": "939-290-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 DE DIEGO",
            "city": "RIO PIEDRA",
            "state": "PR",
            "postal_code": "009290025",
            "telephone_number": "787-767-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EMILY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedra, PR

Sources for this page

Verify at the official NPI Registry.