Johannys Michelle Perez Rios, DR

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

006870 Issued in PR

Practice address

114 Calle Felix Arce Lugo
San German, PR 00683

Phone

(787) 264-1960

NPI assigned

Jun 9, 2021

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1366019291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 46730",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006939661",
            "telephone_number": "939-217-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CALLE FELIX ARCE LUGO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-264-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ RIOS",
        "first_name": "JOHANNYS",
        "middle_name": "MICHELLE",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "006870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006870",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Johannysperez@pucpr.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "114 Calle Felix Arce Lugo",
            "city": "San German",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Asia Pena, RPH
• Ileanmarie Perez Albino, MD
• Shakira Nashalis Perez Ferrer
• Frank Reinaldo Perez Nogueira, M.D.
• Nilver Perez Perez, M.D.
• Obed Perez-Gonzalez, MD
• Angelica Perez, PH.D.
• Karen Perez, RPH
• Physician Independent Practice Organization, LLC.
• Monica Iliany Placido

• Clinical Psychologist in San German, PR
• Providers in San German, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.