| Organization Name: | CENTRO MEDICO DR.DOMINGO PEREZ ORTIZ |
| NPI Number: | 1396124715 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLOS PEREZ BERDEGUER (MEDICO) |
| Mailing Address: | Z40 Ave Nogal Urb Lomas Verdes Bayamon |
| State: | PR US |
| Postal Code: | 009563467 |
| Phone Number: | 7877851011 |
| Fax Number: | 7877805990 |
| NPI Enumeration Date: | 05/19/2015 |
| NPI Last Update Date: | 05/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16749 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |