Individual provider Active NPI

Deborah Perez-Mojica, PHD

  • Psychologist
  • San Juan, PR
National Provider Identifier
1194813345
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1409 Issued in PR
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

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1409PRMDClinical 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

Verify at the official NPI Registry.