Active NPIIndividual providerSole proprietor

Marisol M Mubarak Perdomo, MD

Psychiatry & Neurology, Neurology in San Juan, Puerto Rico

NPI Number1063585024
Practice location
1451 Ave Ashford Esq Nairm, Estacionamiento La Galeria Suite 611, San Juan, PR 00907-1567
Fax
—
Last updated
November 20, 2023

Marisol M Mubarak Perdomo is a Psychiatry & Neurology, Neurology based in San Juan, PR. Marisol M Mubarak Perdomo practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Marisol M Mubarak Perdomo is 1063585024 and holds a License No. 11177 (PR). The current practice location address for Marisol M Mubarak Perdomo is 1451 Ave Ashford Esq Nairm, Estacionamiento La Galeria Suite 611, San Juan, PR 00907-1567 and can be reached out via phone at 787-724-8945.

Provider Profile Details

NPI Number
1063585024
Provider Name
Marisol M Mubarak Perdomo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1451 Ave Ashford Esq Nairm, Estacionamiento La Galeria Suite 611, San Juan, PR 00907-1567
Phone Number
787-724-8945
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
Yes
Provider Enumeration Date
November 16, 2006
Last Update Date
November 20, 2023
Certification Date
November 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1451 Ave Ashford Esq Nairm
Estacionamiento La Galeria Suite 611
San Juan, PR 00907-1567
Zip
00907-1567
Phone Number
787-724-8945
San Juan, PR 00907Get directions →

Provider Business Mailing Address Details

Address
Calle Bienteveo Num 94
Montehiedra
San Juan, PR 00926
City
San Juan
State
PR
Zip
00926
Phone Number
787-724-8945

License Information

License Number
11177
License State
PR
Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marisol M Mubarak Perdomo, MD?

The NPI number of Marisol M Mubarak Perdomo, MD is 1063585024. It was assigned on November 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Marisol M Mubarak Perdomo, MD?

Marisol M Mubarak Perdomo, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in PR under license number 11177.

Where does Marisol M Mubarak Perdomo, MD practice?

The practice location is 1451 Ave Ashford Esq Nairm, Estacionamiento La Galeria Suite 611, San Juan, PR 00907-1567. The office can be reached at 787-724-8945 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063585024 directly on the NPPES registry website.

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