Individual provider Active NPI

Joel Perez Carrero, MD

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1932939121
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24212 Issued in PR
Practice address
Calle Alegria 48
Urb. Manuel Corchado
Isabela, PR 00662
Phone
(787) 948-5635
NPI assigned
Aug 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 543 PR
Student in an Organized Health Care Education/Training Program 390200000X 16876I PR
General Practice Physician 208D00000X 24212 PR Primary

Addresses

Primary practice location

Calle Alegria 48
Urb. Manuel Corchado
Isabela, PR 00662

Mailing address

48 Calle Alegria
Urb Manuel Corchado
Isabela, PR 00662-2789
Phone (787) 948-5635

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
I20250403000511 PR Practitioner - General Practice 7911420690 Practice locations: Isabela, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
543PRMDAudiologist
16876IPRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1932939121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CALLE ALEGRIA",
            "address_2": "URB MANUEL CORCHADO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622789",
            "telephone_number": "787-948-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ALEGRIA 48",
            "address_2": "URB. MANUEL CORCHADO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-948-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CARRERO",
        "first_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-03",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "543",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "16876I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.