Provider Demographics
NPI:1053841924
Name:DR. JAVIER O. PEREZ P.S.C
Entity Type:Organization
Organization Name:DR. JAVIER O. PEREZ P.S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:ORLANDO
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-525-0233
Mailing Address - Street 1:530 CAMINO DE GUILARTE
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-3647
Mailing Address - Country:US
Mailing Address - Phone:787-525-0233
Mailing Address - Fax:787-523-0502
Practice Address - Street 1:845 CARR 693 STE 24
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-6709
Practice Address - Country:US
Practice Address - Phone:787-626-2233
Practice Address - Fax:787-523-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR20941207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty