Provider Demographics
NPI:1215912308
Name:PEREZ-COCHRAN, ADRIAN (MD)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:PEREZ-COCHRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7353
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7353
Mailing Address - Country:US
Mailing Address - Phone:787-812-0909
Mailing Address - Fax:787-812-0920
Practice Address - Street 1:909 AVE. TITO CASTRO TORRE MEDICA SAN LUCAS
Practice Address - Street 2:SUITE 623
Practice Address - City:PONCE
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00716
Practice Address - Country:UM
Practice Address - Phone:787-812-0909
Practice Address - Fax:787-813-0566
Is Sole Proprietor?:No
Enumeration Date:2005-12-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11205207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR88537Medicare ID - Type Unspecified
PRG41214Medicare UPIN