DR. LUIS CARLOS DESPRADEL PEREZ MD
NPI 1215564109
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 23, 2020PECOS Enrolled
1400 PELHAM PKWY S, BRONX, NY 10461(718) 918-5642 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Luis Carlos Despradel Perez Md NPPES

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

DR. LUIS CARLOS DESPRADEL PEREZ MD (NPI 1215564109) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215564109
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LUIS CARLOS DESPRADEL PEREZCredential: MD
Location Address1400 PELHAM PKWY SBronx, NY 10461-1197
Mailing Address1400 Pelham Pkwy SBronx, NY 10461-1197
Sole ProprietorNo
Enumeration DateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
NPI 1215564109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 PELHAM PKWY S, Bronx, NY 10461

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Luis Carlos Despradel Perez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Pharmacist
1400 PELHAM PKWY S
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6, SUITE B125
BRONX, NY 10461
Psychiatry & Neurology (Clinical Neurophysiology)
1400 PELHAM PKWY S, BUILDING #1, 3N1
BRONX, NY 10461
Midwife
1400 PELHAM PKWY S, BS. 33
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6//SUITE B125
BRONX, NY 10461
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Anesthesiology
1400 PELHAM PKWY S
BRONX, NY 10461

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 Luis Despradel Perez's NPI number?

The NPI number for Luis Despradel Perez is 1215564109. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Luis Despradel Perez located?

Luis Despradel Perez practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-5642.

What is Luis Despradel Perez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Luis Despradel Perez enrolled in Medicare?

Yes. Luis Despradel Perez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luis Despradel Perez was last updated on March 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.