MEDICARE: DR. LUIS PEREZ-ABREU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	35.127269	OH
2	2085R0202X	Diagnostic Radiology Physician	ME138621	FL
3	2085R0202X	Diagnostic Radiology Physician	21638	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992118806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS PEREZ-ABREU M.D.

Provider Business Mailing Address
First Line	:	URB EL MIRADOR
Second Line	:	B1, CALLE 3
City	:	SAN JUAN
State	:	PR
Zip	:	00926-1267
Country	:	US
Telephone Number	:	787-602-0361
Fax Number	:	614-293-6935

Provider Business Practice Location Address
First Line	:	URB EL MIRADOR
Second Line	:	B1, CALLE 3
City	:	SAN JUAN
State	:	PR
Zip	:	00926-0092
Country	:	US
Telephone Number	:	787-602-0361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	02/09/2024

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