Provider Demographics
NPI:1740240787
Name:PEREZ-BERENGUER, JUAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:L
Last Name:PEREZ-BERENGUER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:570 J. J. JIMENEZ
Mailing Address - Street 2:HATO REY PATHOLOGY ASSOCIATES
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3722
Mailing Address - Country:US
Mailing Address - Phone:787-765-7320
Mailing Address - Fax:787-753-7656
Practice Address - Street 1:AVE LUIS MUNOZ MARIN, URB MARIOLGA
Practice Address - Street 2:DEPT. OF PATHOLOGY, HIMA - SAN PABLO - CAGUAS HOSPITAL
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-653-0066
Practice Address - Fax:787-653-0061
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2016-12-21
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Provider Licenses
StateLicense IDTaxonomies
PR15384207ZP0102X, 207ZN0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR23072Medicare PIN
PRI34812Medicare UPIN