Provider Demographics
NPI:1750592481
Name:PEREZ-RIVERA, FRANCISCO J (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:J
Last Name:PEREZ-RIVERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANCISCO
Other - Middle Name:J
Other - Last Name:PEREZ-RIVERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7377
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7377
Mailing Address - Country:US
Mailing Address - Phone:787-961-4023
Mailing Address - Fax:787-961-4026
Practice Address - Street 1:HOSPITAL INTERAMERICANO DE MEDICINA AVANZADA
Practice Address - Street 2:SUITE 135, PRIMER PISO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726-0000
Practice Address - Country:US
Practice Address - Phone:787-258-2121
Practice Address - Fax:787-258-7333
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7149261QM2500X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR82968PEOtherTRIPLE-S
PRF-31537Medicare UPIN
PR82968PEOtherTRIPLE-S