Active NPI
Deborah Perez-Mojica, PHD
- Psychologist
- San Juan, PR
National Provider Identifier
1194813345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1409
- Practice address
- 207 Ave Domenech
Suite 108
San Juan, PR 00918-3523 - Phone
- (787) 758-3029
- Fax
- (787) 792-9991
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1409 | PR | |
| Psychologist | 103T00000X | 1409 | PR | Primary |
Addresses
Primary practice location
207 Ave Domenech
Suite 108
San Juan, PR 00918-3523
Mailing address
PO Box 11396
San Juan, PR 00922-1396
Phone (787) 758-3029
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dperez@deborahperez.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110621000608 | PR | Practitioner - Clinical Psychologist | 3375721343 | Practice locations: Hato Rey, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Puerto Rico School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
207 Domenech
Hato Rey, PR 00917
Phone (787) 758-3029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1409 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1194813345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11396",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009221396",
"telephone_number": "787-758-3029",
"fax_number": "787-792-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 AVE DOMENECH",
"address_2": "SUITE 108",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183523",
"telephone_number": "787-758-3029",
"fax_number": "787-792-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-MOJICA",
"first_name": "DEBORAH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1409",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1409",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dperez@deborahperez.com",
"affiliation": "N",
"endpointDescription": "web page",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "207 Ave Domenech",
"address_2": "Suite 108",
"city": "San Juan",
"state": "PR",
"country_code": "US",
"postal_code": "009183523",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.