Provider Demographics
NPI:1841209467
Name:PEREZ, NOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CAPITAL CENTER
Mailing Address - Street 2:239 ARTERIAL HOSTOS STE. 205
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1475
Mailing Address - Country:US
Mailing Address - Phone:787-721-1010
Mailing Address - Fax:787-977-0007
Practice Address - Street 1:239 ARTERIAL HOSTOS
Practice Address - Street 2:CAPITAL CENTER SUITE 205
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1475
Practice Address - Country:US
Practice Address - Phone:787-721-1010
Practice Address - Fax:787-977-0007
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12928207W00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRPE002105Medicare ID - Type Unspecified
PRH51237Medicare UPIN