Adrian Perez Medina, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13,837 Issued in PR

Practice address

Corp. Servicios Medicos Calle Dr. Susoni Num. 121
Hatillo, PR 00659

Phone

(787) 898-4190

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Departamento de Salud Oficial

  • Rural Acute Care Hospital
  • Vieques, PR
  • NPI 1770703845
  Medicare reassignment NPD
• Departamento de Salud Oficial

  • Emergency Care Clinic/Center
  • Adjuntas, PR
  • NPI 1184827370
  NPD

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891704755",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PASEO DEL CAMPO #8 CARRETERA 492 BO. CORCOBADO",
            "city": "HATILLO",
            "state": "PUERTO RICO",
            "postal_code": "00659",
            "telephone_number": "787-898-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORP. SERVICIOS MEDICOS CALLE DR. SUSONI NUM. 121",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-898-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MEDINA",
        "first_name": "ADRIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13,837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Carmen Padin, MD
• Jan Emmanuel Perez Cajigas
• Shakira Perez Chico
• Robindranath Perez Diaz, M.T.
• Lizzette Perez Fernandez
• Rafael Perez Molina
• Obed Perez Reyes, NL
• Veva Perez Reyes
• Jossymar Perez-Gonzalez, PT
• Yerianig M Perez-Rodriguez, MD

• General Practice Physician in Hatillo, PR
• Providers in Hatillo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.