Healthcare Provider Details

I. General information

NPI: 1063114809
Provider Name (Legal Business Name): MARIA CELESTE PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DR. JOSE CELSO BARBOSA DRIVE UNIVERSITY OF PUERTO RICO, MEDICAL SCIENCES CAMPUS
SAN JUAN PR
00921
US

IV. Provider business mailing address

PO BOX 8936
SAN JUAN PR
00910-0936
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2525
  • Fax:
Mailing address:
  • Phone: 787-218-9495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number38145
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: