Active NPI
Kritzia Meraris Perez Caban
- General Practice Physician
- Aguadilla, PR
National Provider Identifier
1932765369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15019I
- Practice address
- Urb Jardines de Borinquen
53 Calle Leon
Aguadilla, PR 00603 - Phone
- (787) 882-5922
- NPI assigned
- May 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15019I | PR | Primary |
Addresses
Primary practice location
Urb Jardines de Borinquen
53 Calle Leon
Aguadilla, PR 00603
Mailing address
Urb Jardines de Borinquen
53 Calle Leon
Aguadilla, PR 00603
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15019I | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Physician Care PSC | General Practice | Current | Accepting new patients |
Locations
361 Calle Sgto Luis Medina
San Juan, PR 00918
Phone (787) 614-5231
138 Ave Winston Churchill
San Juan, PR 00926
Phone (787) 305-8383
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.
-
- General Practice Physician
- San Juan, PR
- NPI 1689810699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1932765369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB JARDINES DE BORINQUEN",
"address_2": "53 CALLE LEON",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB JARDINES DE BORINQUEN",
"address_2": "53 CALLE LEON",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-882-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ CABAN",
"first_name": "KRITZIA",
"middle_name": "MERARIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-10",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15019I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.