Healthcare Provider Details

I. General information

NPI: 1982537718
Provider Name (Legal Business Name): JANICE PERDOMO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 14, INTERIOR, BARRIO RINCON, SECTOR, 00736
CAYEY PR
00736
US

IV. Provider business mailing address

CENTRO MEDICO MENONITA CAYEY EDIFICIO PROFESIONAL - SUITE 309
CAYEY PR
00736
US

V. Phone/Fax

Practice location:
  • Phone: 787-535-1001
  • Fax:
Mailing address:
  • Phone: 787-535-1001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number37865
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: