Provider Demographics
NPI:1952505034
Name:PEREZ GUMA, JOSE EUGENIO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:EUGENIO
Last Name:PEREZ GUMA
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 1:55 AVE LOPATEGUI APT 203
Mailing Address - Street 2:VILLAS DE PARKVILLE II
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4567
Mailing Address - Country:US
Mailing Address - Phone:787-717-5120
Mailing Address - Fax:
Practice Address - Street 1:55 LOPATEGUI AVE
Practice Address - Street 2:VILLAS DE PARKVILLE II, BOX 203
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-717-5120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7645207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology