Individual provider Active NPI

Manuel J. Perez Pabon, M.D.

  • Internal Medicine Physician
  • Rio Piedras, PR
National Provider Identifier
1952509614
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6963 Issued in PR
Practice address
1051 Calle 3 SE
508
Rio Piedras, PR 00921-3000
Phone
(787) 313-6871
NPI assigned
Jul 4, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6963 PR Primary

Addresses

Primary practice location

1051 Calle 3 SE
508
Rio Piedras, PR 00921-3000

Mailing address

1051 Calle 3 SE
508
Rio Piedras, PR 00921-3017

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
I20041013000912 PR Practitioner - Internal Medicine 4486614500 Practice locations: Ponce, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952509614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 CALLE 3 SE",
            "address_2": "508",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009213017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 CALLE 3 SE",
            "address_2": "508",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009213000",
            "telephone_number": "787-313-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PABON",
        "first_name": "MANUEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "6963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.