Individual
MARISOL M MUBARAK PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1451 AVE ASHFORD ESQ NAIRM, ESTACIONAMIENTO LA GALERIA SUITE 611, SAN JUAN, PR 00907-1567
(787) 724-8945
Mailing address
CALLE BIENTEVEO NUM 94, MONTEHIEDRA, SAN JUAN, PR 00926
(787) 724-8945
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11177
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500133
HUMANA HEALTH PLANS
PR
01
—
217023
PREFERRED HEALTH
PR
01
—
600108
MEDICARE Y MUCHO MAS
PR
01
—
83360
TRIPLE S
PR
Enumeration date
11/16/2006
Last updated
11/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us