NPI 1245886621

Ivan J Perez Vicente, MD

Practitioner Interventional Pain Medicine Physician Brighton, MA

Practice location

Address: 736 Cambridge St, Brighton, MA 02135-2907
Phone: (617) 789-3000
Mailing address: PO Box 365067, San Juan, PR 00936-5067

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 25103 (PR)

Other Pain Medicine providers in Massachusetts →

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence 3019459 (MA)

Other Physical Medicine & Rehabilitation providers in Massachusetts →

Registry record

NPI: 1245886621
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2019
Record last updated: 9 Aug 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.