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MARISOL M MUBARAK PERDOMO M.D.
NPI 1063585024
Psychiatry & Neurology - Neurology in San Juan, PR

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
1451 AVE ASHFORD ESQ NAIRM, ESTACIONAMIENTO LA GALERIA SUITE 611, SAN JUAN, PR 00907(787) 724-8945 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marisol M Mubarak Perdomo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISOL M MUBARAK PERDOMO M.D. (NPI 1063585024) is an individual neurology provider in San Juan, Puerto Rico, licensed in Puerto Rico (11177) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (1989).

NPPES Registry Identity

NPI1063585024
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMARISOL M MUBARAK PERDOMOCredential: M.D.
Location Address1451 AVE ASHFORD ESQ NAIRM, ESTACIONAMIENTO LA GALERIA SUITE 611San Juan, PR 00907-1567
Mailing AddressCalle Bienteveo Num 94, MontehiedraSan Juan, PR 00926 · (787) 724-8945
Phone(787) 724-8945
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 1989
Enumeration DateNovember 16, 2006
Last NPPES UpdateNovember 20, 2023
NPPES CertifiedNovember 20, 2023
✔ NPI 1063585024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PR · 11177
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Other Identifiers 4

Other217023PR · Preferred Health
Other0500133PR · Humana Health Plans
Other600108PR · Medicare Y Mucho Mas
Other83360PR · Triple S

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisol M Mubarak Perdomo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911186937
PECOS Enrollment IDI20110124000538
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
224 services142 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisol Mubarak Perdomo's NPI number?

The NPI number for Marisol Mubarak Perdomo is 1063585024. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Marisol Mubarak Perdomo located?

Marisol Mubarak Perdomo practices at 1451 Ave Ashford Esq Nairm Estacionamiento La Galeria Suite 611, San Juan, PR 00907. The listed phone number is (787) 724-8945.

What is Marisol Mubarak Perdomo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Marisol Mubarak Perdomo enrolled in Medicare?

Yes. Marisol Mubarak Perdomo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marisol Mubarak Perdomo was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.