CENTRO MEDICO DR.DOMINGO PEREZ ORTIZ (NPI# 1396124715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396124715 |
| Entity Type | Organization |
| Organization Name | CENTRO MEDICO DR.DOMINGO PEREZ ORTIZ |
| Other Organization Name | CENTRO MEDICO DR. DOMINGO PEREZ ORTIZ |
| Practice Address |
Z40 Ave Nogal Urb Lomas Verdes Bayamon PR 00956-3467 |
| Mailing Address |
Po Box 395 Bayamon PR 00960-0395 |
| Practice Telephone | 7877851011 |
| Practice Fax Number | 7877805990 |
| Mailing Telephone | 7877851011 |
| Mailing Fax Number | 7877805990 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |
| Authorized Official Name | DR. CARLOS PEREZ BERDEGUER (MEDICO) |
| Authorized Official Telephone | 7877851011 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 16749 | PR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centro Medico Dr. Domingo Perez Ortiz | Former Legal Business Name - Organization |
| Street Address |
Z40 AVE NOGAL URB LOMAS VERDES |
| City | BAYAMON |
| State | PR |
| Zip Code | 00956-3467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437514 | Julio Alberto Cedeno Alicea | Pharmacist | Carr. 174 Km. 10.2, Sec. La Morenita Bo. Guaraguao, Bayamon, PR 00956 | 2020-11-03 |
| 1851992275 | Patricia Santurio | Pharmacist | Farmacia Magda C 30, Santa Juanita, Bayamon, PR 00956 | 2020-11-03 |
| 1336754423 | Gustavo Jose Morey Cruz | Physical Therapist | Urb Santa Juanita Calle 30 Uu #43, Bayamon, PR 00956 | 2020-09-15 |
| 1609480961 | Great Vision, LLC | Optometrist | Avenida Laurel Gh1 Ofic #3, Santa Juanita, Bayamon, PR 00956 | 2020-09-03 |
| 1861004285 | Glorilis Zambrana Sr. | Social Worker | Carr. 174 Km 15.3 Barrio Guaraguao Arriba, Sector Chorrera, Bayamon, PR 00956 | 2020-08-18 |
| 1568073484 | Luz Myriam Bracero | Counselor | Carr 174 Km 8.3, Bo Guaraguao Abajo, Bayamon, PR 00956 | 2020-08-13 |
| 1316565641 | Aa Home Rental Inc | Clinical Medical Laboratory | Carr 829 Km,6.2, Bayamon, PR 00956 | 2020-07-13 |
| 1750909495 | Agustin Vazquez | Physician Assistant | Carr 167 Km 10.9, Bayamon, PR 00956 | 2020-07-09 |
| 1710509211 | Carmen Luz Rosa Santiago | Registered Nurse | Carr 829 Km 5.2, Bo. Santa Olaya, Bayamon, PR 00956 | 2020-05-07 |
| 1649891193 | Omar Pantaleon | Student in an Organized Health Care Education/Training Program | Avenida Laurel, Santa Juanita, Bayamon, PR 00956 | 2020-05-06 |
| Find all providers in zip 00956 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413990 | Lourdes Marie Davila | General Practice | Urb Extension Forest Hills, Calle Uruguay U 684, Bayamon, PR 00959 | 2020-09-24 |
| 1679188189 | Francisco Menendez Diaz | General Practice | 56 Calle Estancias, Bayamon, PR 00956-5092 | 2020-09-11 |
| 1447880786 | Marysol Vicente | General Practice | 53-1 Calle 60a, Bayamon, PR 00957-3871 | 2020-01-24 |
| 1790322261 | Transforma Health Systems L.L.C. | General Practice | Calle 2 G14 Ext. Villa Rica, Bayamon, PR 00959 | 2019-12-04 |
| 1023654217 | Oscar Andres Rodriguez-ayala | General Practice | Ave. Cementerio Nacional 11, Hato Tejas, Bayamon, PR 00961 | 2019-11-21 |
| 1073154860 | Rodriguez Carrer Md | General Practice | Urb Royal Gardens, Calle Esther Lote E-4, Bayamon, PR 00957 | 2019-10-02 |
| 1124675582 | Blessing Medical Services LLC | General Practice | Carr 174 Blq 21-25, Santa Rosa, Bayamon, PR 00959 | 2019-08-21 |
| 1134787708 | Angel Luis Lopez Perez | General Practice | M12 Calle 12, Urb Versalles, Bayamon, PR 00959-2123 | 2019-05-30 |
| 1316405061 | Alexandra Rosado Betancourt | General Practice | G11 Calle Jerry Rivas Diaz, Urb Sta Monica, Bayamon, PR 00957 | 2019-03-12 |
| 1184110868 | Carlos Javier Arencibia Albite | General Practice | D5-11 San Fernando Garden Apartments, Bayamon, PR 00957 | 2018-07-06 |
| Find all providers in BAYAMON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.