Dr. Ivan J Perez Vicente, MD
Pain Medicine, Interventional Pain Medicine in Brighton, Massachusetts
1245886621- Practice location
- 736 Cambridge St, Brighton, MA 02135-2907
- Phone
- 617-789-3000
- Fax
- —
- Last updated
- August 9, 2026
Ivan J Perez Vicente is a Pain Medicine, Interventional Pain Medicine based in Brighton, MA. Ivan J Perez Vicente practices in Brighton, MA and has the professional credentials of MD. The NPI Number for Ivan J Perez Vicente is 1245886621 and holds a License No. 25103 (PR). The current practice location address for Ivan J Perez Vicente is 736 Cambridge St, Brighton, MA 02135-2907 and can be reached out via phone at 617-789-3000.
Provider Profile Details
- NPI Number
- 1245886621
- Provider Name
- Ivan J Perez Vicente
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 736 Cambridge St, Brighton, MA 02135-2907
- Phone Number
- 617-789-3000
- Primary Taxonomy
- Pain Medicine, Interventional Pain Medicine · 208VP0014X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 12, 2019
- Last Update Date
- August 9, 2026
- Certification Date
- August 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 736 Cambridge St
Brighton, MA 02135-2907 - City
- Brighton
- State
- Massachusetts
- Zip
- 02135-2907
- Phone Number
- 617-789-3000
Provider Business Mailing Address Details
- Address
- Po Box 365067
San Juan, PR 00936-5067 - City
- San Juan
- State
- PR
- Zip
- 00936-5067
License Information
- License Number (1)
- 25103
- License State (1)
- PR
- Taxonomy (1)
- Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary
- License Number (2)
- 3019459
- License State (2)
- MA
- Taxonomy (2)
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Ivan J Perez Vicente, MD?
The NPI number of Dr. Ivan J Perez Vicente, MD is 1245886621. It was assigned on August 12, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Ivan J Perez Vicente, MD?
Dr. Ivan J Perez Vicente, MD is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in PR under license number 25103.
Where does Dr. Ivan J Perez Vicente, MD practice?
The practice location is 736 Cambridge St, Brighton, MA 02135-2907. The office can be reached at 617-789-3000 (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 1245886621 directly on the NPPES registry website.