Individual provider Active NPI

Yanesa M Perez Berrios, MD

  • Ophthalmology Physician
  • Rio Piedras, PR
National Provider Identifier
1982610697
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11506 Issued in PR
Practice address
200 Ave Winston Churchill
W Churchill 2000 BLDG of 201
Rio Piedras, PR 00926-6651
Phone
(787) 765-1039
Fax
(787) 765-6197
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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 11506 PR Primary

Addresses

Primary practice location

200 Ave Winston Churchill
W Churchill 2000 BLDG of 201
Rio Piedras, PR 00926-6651

Mailing address

PO Box 7886
PMB 367
Guaynabo, PR 00970-7886
Phone (787) 765-1039

Other names 1

  • Mrs. Yanesa M Perez Berrios Professional name

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
I20101203000887 PR Practitioner - Ophthalmology 9234326125 Practice locations: San Juan, 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1982610697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7886",
            "address_2": "PMB 367",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009707886",
            "telephone_number": "787-765-1039",
            "fax_number": "787-765-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE WINSTON CHURCHILL",
            "address_2": "W CHURCHILL 2000 BLDG OF 201",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009266651",
            "telephone_number": "787-765-1039",
            "fax_number": "787-765-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ BERRIOS",
        "first_name": "YANESA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "11506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANESA",
            "last_name": "PEREZ BERRIOS",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.