Provider Demographics
NPI:1396775714
Name:PEREZ-PEREZ, RAMON (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:
Last Name:PEREZ-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:PO BOX 1549
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-1549
Mailing Address - Country:US
Mailing Address - Phone:787-899-5700
Mailing Address - Fax:787-899-5700
Practice Address - Street 1:1 CALLE VICTORIA
Practice Address - Street 2:ESQUINA SAN BLAS
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-2082
Practice Address - Country:US
Practice Address - Phone:787-899-5700
Practice Address - Fax:787-899-5700
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15052208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH96102Medicare UPIN