Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 18536 | PR |
N | 111NI0900X | Internist | 18536 | PR |
Y | 207RC0000X | Internist - Cardiovascular Disease | 18536 | PR |
NPI | 1003049289 |
---|---|
Provider Name | Reynerio E Perez Ramirez |
First Address | San Juan, PR 00910 |
Second Address | San Juan, PR 00907-4012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2009 |
Last Update Date | 19/07/2017 |