Provider Demographics
NPI:1356554372
Name:PEREZ, JUAN LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:LUIS
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:CALLE CENTRAL #87
Mailing Address - Street 2:URB. BAHIA
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962
Mailing Address - Country:US
Mailing Address - Phone:787-249-1636
Mailing Address - Fax:787-788-7129
Practice Address - Street 1:CALLE MARGINAL D-2
Practice Address - Street 2:URB SANTA CRUZ
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-785-3448
Practice Address - Fax:787-778-2868
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2022-06-20
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Provider Licenses
StateLicense IDTaxonomies
PR12401208D00000X, 320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice