Edward A Perez, B.S., D.C.

Individual provider Active NPI Chiropractor · Hormigueros, PR

NPI 1992280358 · NPPES record last updated Mar 3, 2020

Key facts

NPI
1992280358
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
661 (PR)
Practice address
510 Plaza Constancia
Suite 104
Hormigueros, PR 00660
Phone
(787) 602-9522
Fax
(787) 827-8018
NPI assigned
Oct 1, 2018
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Edward a Perez, BS, DC PSC (2 clinicians)

Practice addresses (Care Compare)

510 Plaza Constancia
Suite 104
Hormigueros, PR 00660
Phone (787) 602-9522

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200326000387 PR Practitioner - Chiropractic 2365871357 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Edward a Perez, BS, DC PSC Chiropractor Current
since Feb 2, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 661 PR Yes

Addresses

Primary practice location

510 Plaza Constancia
Suite 104
Hormigueros, PR 00660

Mailing address

510 Plaza Constancia
Suite 104
Hormigueros, PR 00660
Phone (787) 602-9522

Other practice location 1

Urb Monte Bello, 7015 Calle Zarina
Hormigueros, PR 00660-1262
Phone (787) 602-9522

Other identifiers

IdentifierTypeStateIssuer
661OtherPRDOCTOR'S LICENSE NUMBER

Other providers in Hormigueros, PR

All providers in Hormigueros, PR · Chiropractor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.