Marylin Jazmin Perez Rivera, LICENCIADA(LCDA.)

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

004377 Issued in PR

Practice address

Bo. Juan Martin Carr 3 KM 42.1
Luquillo, PR 00773-9569

Phone

(787) 536-9147

NPI assigned

Dec 8, 2022

Last updated

Dec 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1194436386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC-01 BOX 8554",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007739569",
            "telephone_number": "787-536-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. JUAN MARTIN CARR 3 KM 42.1",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007739569",
            "telephone_number": "787-536-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ RIVERA",
        "first_name": "MARYLIN",
        "middle_name": "JAZMIN",
        "name_prefix": "Mrs.",
        "credential": "LICENCIADA(LCDA.)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "004377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fernando Luis Pizarro
• Preds, Corp

• Counseling Psychologist in Luquillo, PR
• Providers in Luquillo, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.