Active NPI
Evelyn Perez Hernandez, TRABAJADORA SOCIAL
- Community/Behavioral Health Agency
- Arecibo, PR
National Provider Identifier
1326259409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 5420
- Practice address
- Antiguo Salud Mental 2DO Piso Carr 129
Arecibo, PR 00612 - Phone
- (787) 262-4907
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 5420 | PR | Primary |
Addresses
Primary practice location
Antiguo Salud Mental 2DO Piso Carr 129
Arecibo, PR 00612
Mailing address
#615 Urb. Paseos de Camuy
Camuy, PR 00627
Phone (787) 262-4907
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5420 | PR | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326259409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#615 URB. PASEOS DE CAMUY",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-262-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ANTIGUO SALUD MENTAL 2DO PISO CARR 129",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-262-4907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ HERNANDEZ",
"first_name": "EVELYN",
"name_prefix": "Miss",
"credential": "TRABAJADORA SOCIAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PR",
"license": "5420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, 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.