Individual provider Active NPI

Leilani J. Joy Perez, M.D.

  • Ophthalmology Physician
  • Corozal, PR
National Provider Identifier
1972915353
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
19791 Issued in PR
Practice address
Carr 159 # KM15.5
Corozal, PR 00783-2903
Phone
(787) 859-8318
NPI assigned
May 20, 2014
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 19791 PR Primary

Addresses

Primary practice location

Carr 159 # KM15.5
Corozal, PR 00783-2903

Mailing address

HC 1 Box 3143
Corozal, PR 00783-9407
Phone (787) 859-8318

Other practice location 1

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 263-1200

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
I20190621000933 PR Practitioner - Ophthalmology 7517219454 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University Central del Caribe Escuela de Medicina, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Ave FD Roosevelt
San Juan, PR 00918-2103
Phone (787) 767-4350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19794PRMDClinical Social Worker
19791PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LJP, LLC Ophthalmology Current Accepting new patients
Arc of PR, LLC CurrentSince Jun 2, 2024 Accepting new patients
Jose a Quintero Estades LLC Past Accepting new patients
Dr Hugo Martinez Oftalmologo, CSP Ophthalmology PastSince Jan 25, 2010 Accepting new patients

Locations

3143 HC 1
Corozal, PR 00783
Phone (787) 859-8318

Interoperability endpoints

  • Direct secure messaging: leilani.joy@retina.direct.eyemdemr.com
  • Direct secure messaging: leilanijoy@caribbeanglaucoma.direct.eyemdemr.com

Organizations & group practices 4

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1972915353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 3143",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839407",
            "telephone_number": "787-859-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 159 # KM15.5",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007832903",
            "telephone_number": "787-859-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4212 N 16th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85016",
            "country_code": "US",
            "telephone_number": "602-263-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOY PEREZ",
        "first_name": "LEILANI",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "19791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

Verify at the official NPI Registry.