Performance Sports Med LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PERFORMANCE SPORTS MED LLC

Practice address

351 Ave Hostos
Suite 206
Mayaguez, PR 00680

Phone

(787) 831-5831

Fax

(787) 827-8020

NPI assigned

Jun 18, 2025

Organization subpart

No

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

Authorized official

Name

Alejandra E Gonzalez Vega, M.D., CAQSM

Title

President

Phone

(787) 404-0909

Specialties & licenses 2

Addresses

Tax ID family

Performance Sports Med LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Performance Sports Med LLC

  • Sports Medicine (Family Medicine) Physician
  • Mayaguez, PR
  • NPI 1477140655
  NPD tax ID

Locations

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1891682316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS",
            "address_2": "SUITE 206",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-831-5831",
            "fax_number": "787-827-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS",
            "address_2": "SUITE 206",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-831-5831",
            "fax_number": "787-827-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPORTS MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ VEGA",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-404-0909",
        "authorized_official_credential": "M.D., CAQSM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Alexandra Perez, MD
• Olga Silva Perez, LCDA
• Rosangela Perez
• Yarimell Perez, D.D.S.
• Performance Sports Med LLC
• Aisha Aracelis Perfume, OPTICIAN
• Periodoncia del Oeste LLC
• Fernando Pesante Acevedo, CORP.
• Jonathan Joel Pesante, DC
• Pharmasolutions LLC

• Family Medicine Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.