Provider Demographics
NPI:1831129279
Name:PEREZ-RODRIGUEZ, JUAN OVIDIO (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:OVIDIO
Last Name:PEREZ-RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9 EMAJAGUA ST. COND. EMAJAGUA APT 5A
Mailing Address - Street 2:PUNTA LAS MARIAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00913
Mailing Address - Country:US
Mailing Address - Phone:787-754-4911
Mailing Address - Fax:
Practice Address - Street 1:PONCE DE LEON AVE. , AUXILIO MUTUO HOSPITAL
Practice Address - Street 2:TRANSPLANT OFFICE , 2ND. FLOOR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919-1227
Practice Address - Country:US
Practice Address - Phone:787-754-4911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR65412080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D26719Medicare UPIN
PR98572Medicare PIN