Individual ProviderLuisamari Dorna PerezStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressUniversity District Hospital Puerto Rico Medical Center, Bo. Monacillos, San Juan, PR 00935-0001(787) 754-0101PECOS EnrollmentBased on the most recent information from CMS, provider Luisamari Dorna Perez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1598116881Provider TypeIndividualFull NameDorna Perez, LuisamariGenderFemaleSole ProprietorNoEnumeration Date6/28/2016Last Updated7/15/2016Contact InformationPractice LocationPractice AddressUniversity District Hospital Puerto Rico Medical Center, Bo. Monacillos, San Juan, PR 00935-0001Phone(787) 754-0101FaxUnlisted FaxMailing LocationMailing AddressPO Box 2116, University District Hospital Puerto Rico Medical Center, San Juan, PR 00922-2116Phone(787) 754-0101FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense4847418Puerto RicoCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense4847418Puerto Rico