Active NPI
Omar Perez, PH.D.
- Psychologist
- Bayamon, PR
National Provider Identifier
1093901068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2201
- Practice address
- Avenida Laurel, Esquina Powell
Universidad Central del Caribe/Hospital Ruiz Arnau
Bayamon, PR 00960-6032 - Phone
- (787) 288-0200
- Fax
- (787) 288-0242
- NPI assigned
- Sep 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2201 | PR | Primary |
Addresses
Primary practice location
Avenida Laurel, Esquina Powell
Universidad Central del Caribe/Hospital Ruiz Arnau
Bayamon, PR 00960-6032
Mailing address
PO Box 60327
Bayamon, PR 00960-6032
Phone (787) 288-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1093901068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60327",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009606032",
"telephone_number": "787-288-0200",
"fax_number": "787-288-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA LAUREL, ESQUINA POWELL",
"address_2": "UNIVERSIDAD CENTRAL DEL CARIBE/HOSPITAL RUIZ ARNAU",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009606032",
"telephone_number": "787-288-0200",
"fax_number": "787-288-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "OMAR",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-24",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "2201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.