Individual
DR. ELBA ANTOINETTE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
EXPRESO TRUJILLO ALTO KM 4.4, SAN MIGUEL MEDICAL - SUITE 204 PLAZA SAN MIGUEL, TRUJILLO ALTO, PR 00976
(787) 748-7120
(787) 748-7105
Mailing address
PO BOX 193868, SAN JUAN, PR 00919-3868
(787) 748-7120
(787) 748-7105
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13348
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13348
STATE LICENSE
PR
01
—
500350
MMM HEATHCARE
PR
01
—
84345
TRIPLE-S, INC
PR
01
—
9760040
HUMANA HEALTH CARE
PR
Enumeration date
07/15/2005
Last updated
07/13/2025
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