Active NPI
Jaemilyn Perez, RN, BSN.
- Registered Nurse
- Arecibo, PR
National Provider Identifier
1902568124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 092043
- Practice address
- 446 Ave Juan Rosado
Arecibo, PR 00612-4265 - Phone
- (787) 880-0384
- NPI assigned
- Oct 6, 2021
- Last updated
- Oct 6, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 092043 | PR | Primary |
Addresses
Primary practice location
446 Ave Juan Rosado
Arecibo, PR 00612-4265
Mailing address
PO Box 863
Lares, PR 00669-0863
Phone (787) 394-7502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092043 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092043 | PR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
446 Ave Juan Rosado
Arecibo, PR 00612
Phone (787) 815-2122
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1902568124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863",
"city": "LARES",
"state": "PR",
"postal_code": "006690863",
"telephone_number": "787-394-7502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 AVE JUAN ROSADO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124265",
"telephone_number": "787-880-0384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JAEMILYN",
"name_prefix": "Miss",
"credential": "RN, BSN.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "092043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092043",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.