Healthcare Provider Details

I. General information

NPI: 1740106426
Provider Name (Legal Business Name): ALEXANDRO MANUEL PEREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL RYDER AVENIDA FONT MARTELO 355
HUMACAO PR
00791
US

IV. Provider business mailing address

URB. VILLAS DE CANDELERO #11 CALLE GAVIOTA
HUMACAO PR
00791
US

V. Phone/Fax

Practice location:
  • Phone: 787-852-0768
  • Fax:
Mailing address:
  • Phone: 787-249-9243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number94814
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: