Provider Demographics
NPI:1326191743
Name:PEREZ-COMAS, ADOLFO (MD,PHD, FACE)
Entity Type:Individual
Prefix:DR
First Name:ADOLFO
Middle Name:
Last Name:PEREZ-COMAS
Suffix:
Gender:M
Credentials:MD,PHD, FACE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1452 AVE ASHFORD
Mailing Address - Street 2:SUITE 310, CONDADO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1581
Mailing Address - Country:US
Mailing Address - Phone:787-723-4728
Mailing Address - Fax:787-724-8538
Practice Address - Street 1:1452 AVE ASHFORD
Practice Address - Street 2:SUITE 310, CONDADO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1581
Practice Address - Country:US
Practice Address - Phone:787-723-4728
Practice Address - Fax:787-724-8538
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3397207RE0101X, 207SG0201X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Not Answered207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Not Answered2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC77263Medicare UPIN
PR24834Medicare ID - Type Unspecified