Healthcare Provider Details

I. General information

NPI: 1518480011
Provider Name (Legal Business Name): CARLOS JAVIER PEREZ-REFOJOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2017
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 AVE AMERICO MIRANDA
SAN JUAN PR
00921-2842
US

IV. Provider business mailing address

321 CALLE REY FELIPE
GUAYNABO PR
00969-3255
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2525
  • Fax:
Mailing address:
  • Phone: 787-608-7248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number21939
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: