Individual provider Active NPI

Pascual Arnaldo Perez Perez, PHD

  • Psychologist
  • Aguadilla, PR
National Provider Identifier
1235268772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1609 Issued in PR
Practice address
Calle Ruiz Belvis
#2
Aguadilla, PR 00603-0000
Phone
(787) 882-0295
Fax
(787) 882-0295
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1609 PR Primary

Addresses

Primary practice location

Calle Ruiz Belvis
#2
Aguadilla, PR 00603-0000

Mailing address

Calle a Urb Marbella
#23
Aguadilla, PR 00603-0000
Phone (787) 882-8231

Other identifiers 4

IdentifierTypeStateIssuer
16-1609OtherPRMEDICAL CARD SYSTEM
2245OtherPRHUMANA
1199OtherPRINTERNATIONAL MEDICAL CAR
105515OtherPRFHC VALUE OPTIONS

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

LicenseStateTypeSpecialty
1609PRMDRehabilitation Counselor

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235268772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE A URB MARBELLA",
            "address_2": "#23",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006030000",
            "telephone_number": "787-882-8231",
            "fax_number": "787-882-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE RUIZ BELVIS",
            "address_2": "#2",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006030000",
            "telephone_number": "787-882-0295",
            "fax_number": "787-882-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PEREZ",
        "first_name": "PASCUAL",
        "middle_name": "ARNALDO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARD SYSTEM",
            "identifier": "16-1609",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "2245",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "1199",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHC VALUE OPTIONS",
            "identifier": "105515",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.