Individual provider Active NPI

Aixa A Perez, PSY.D.

  • Clinical Psychologist
  • Camuy, PR
National Provider Identifier
1154575512
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3072 Issued in PR
Practice address
63 Ave Munoz Rivera
Camuy, PR 00627-0660
Phone
(787) 898-2660
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3072 PR Primary

Addresses

Primary practice location

63 Ave Munoz Rivera
Camuy, PR 00627-0660

Mailing address

PO Box 1175
San Sebastian, PR 00685-1175
Phone (787) 432-6735

Other practice location 1

Carretera #2 Ave Severiano Cuevas
Hospital Buen Samaritano
Aguadilla, PR 00603
Phone (787) 697-1282

Other names 1

  • Aixa A Perez Rivera Professional name

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

State licenses

LicenseStateTypeSpecialty
3072PRMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1154575512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1175",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851175",
            "telephone_number": "787-432-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 AVE MUNOZ RIVERA",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270660",
            "telephone_number": "787-898-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carretera #2 Ave Severiano Cuevas",
            "address_2": "Hospital Buen Samaritano",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00603",
            "country_code": "US",
            "telephone_number": "787-697-1282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "AIXA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIXA",
            "last_name": "PEREZ RIVERA",
            "middle_name": "A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.