Individual provider Active NPI

Dennis E Perez, MD

  • Diagnostic Radiology Physician
  • Vega Alta, PR
National Provider Identifier
1932131067
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11955 Issued in PR
Practice address
1 Calle Marginal Ste 103
Urb Santa Rita 1 Calle Marginal
Vega Alta, PR 00692-6797
Phone
(787) 270-0520
Fax
(787) 270-0530
NPI assigned
Jul 7, 2006
Last updated
May 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 11955 PR Primary

Addresses

Primary practice location

1 Calle Marginal Ste 103
Urb Santa Rita 1 Calle Marginal
Vega Alta, PR 00692-6797

Mailing address

1 Calle Marginal Ste 103
Vega Alta, PR 00692-6797
Phone (787) 270-0520

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
I20100626000329 PR Practitioner - Diagnostic Radiology 4183755739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ponce School of Medicine, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Calle Marginal
Suite 103
Vega Alta, PR 00692-6797
Phone (787) 270-0520

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vega Alta Radiology, Inc. Diagnostic Radiology CurrentSince Dec 24, 2015 Accepting new patients
Centro Imagenes de Manati PSC Diagnostic Radiology Past Accepting new patients
Centro Imagenes Manati Yvf PSC Diagnostic Radiology PastSince Apr 2, 2013 Accepting new patients

Locations

1 Calle Marginal
Ste 103
Vega Alta, PR 00692
Phone (787) 270-0520

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1932131067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE MARGINAL STE 103",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926797",
            "telephone_number": "787-270-0520",
            "fax_number": "787-270-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE MARGINAL STE 103",
            "address_2": "URB SANTA RITA 1 CALLE MARGINAL",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926797",
            "telephone_number": "787-270-0520",
            "fax_number": "787-270-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DENNIS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "11955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.