Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marisol M Mubarak Perdomo, MD

Individual provider Neurology Physician · NPI 1063585024

Marisol M Mubarak Perdomo, MD is a Neurology in San Juan, Puerto Rico. Graduated from Ponce School of Medicine in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
37
Trained at
Ponce School of Medicine
Licensed in
PR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

1451 Ave Ashford Esq Nairm Estacionamiento La Galeria Ste 611
San Juan, PR 00907-1567
Phone: (787) 724-8945

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Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 11177 (PR)

Record details

NPI number1063585024
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 16, 2006
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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