Healthcare Provider Details

I. General information

NPI: 1740117431
Provider Name (Legal Business Name): FRANK PEREZ PEREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. EST. PR-460, KM. 0.2, BO. CAIMITAL BAJO
AGUADILLA PR
00603
US

IV. Provider business mailing address

CARR. EST. PR-460, KM. 0.2, BO. CAIMITAL BAJO
AGUADILLA PR
00603
US

V. Phone/Fax

Practice location:
  • Phone: 787-658-0012
  • Fax: 787-819-0805
Mailing address:
  • Phone: 787-658-0012
  • Fax: 787-819-0805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number17731-I
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: