Healthcare Provider Details

I. General information

NPI: 1659364644
Provider Name (Legal Business Name): RAFAEL PEREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DOCTORS CANCER CENTER CARR 2 KM 47.7
MANATI PR
00674-0013
US

IV. Provider business mailing address

105 DORADO BCH E
DORADO PR
00646-2091
US

V. Phone/Fax

Practice location:
  • Phone: 787-621-3400
  • Fax: 787-621-3401
Mailing address:
  • Phone: 787-667-8137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number13501
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: