MEDICARE: DR. NORBERTO PEREZ-MONTES DMD, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0700X	Prosthodontics	879	PR

General Provider Information

NPI Number	:	1679560148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORBERTO PEREZ-MONTES DMD, MS

Provider Business Mailing Address
First Line	:	534 AVE ESCORIAL
Second Line	:	CAPARRA HEIGHTS
City	:	SAN JUAN
State	:	PR
Zip	:	00920-4705
Country	:	US
Telephone Number	:	787-793-6275
Fax Number	:	787-781-6461

Provider Business Practice Location Address
First Line	:	534 AVE ESCORIAL
Second Line	:	CAPARRA HEIGHTS
City	:	SAN JUAN
State	:	PR
Zip	:	00920-4705
Country	:	US
Telephone Number	:	787-793-6275
Fax Number	:	787-781-6461

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	05/14/2013

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