Individual provider Active NPI

Iris Liliana Kuilan Perez, PSY D

  • Clinical Psychologist
  • Barceloneta, PR
National Provider Identifier
1386813970
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2409 Issued in PR
Practice address
51 Urb Catalana
51 Urb Catalana
Barceloneta, PR 00617-2773
Phone
(787) 846-5101
Fax
(787) 852-1105
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2409 PR Primary

Addresses

Primary practice location

51 Urb Catalana
51 Urb Catalana
Barceloneta, PR 00617-2773

Mailing address

HC 33 Box 5168
Dorado, PR 00646-9603
Phone (787) 405-6504

Other identifiers 1

IdentifierTypeStateIssuer
2409OtherPRLICENSE NO.

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
I20080616000244 PR Practitioner - Clinical Psychologist 1153492327 Reassigns benefits to 2 organizations
Practice locations: Barceloneta, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2409PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Psiquiatrica Y Psicologica Felicita Ramos Clinical CurrentSince Jul 9, 2021 Accepting new patients
Oruga En Metamorfosis CSP Psychologist CurrentSince Aug 22, 2014 Accepting new patients
Oruga Metamorfosis Psicologica Para Un Bienestar Integral Clinical Past Accepting new patients

Locations

51 Urb Catalana
Barceloneta, PR 00617
Phone (787) 846-5101

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1386813970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 33 BOX 5168",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469603",
            "telephone_number": "787-405-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 URB CATALANA",
            "address_2": "51 URB CATALANA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172773",
            "telephone_number": "787-846-5101",
            "fax_number": "787-852-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUILAN PEREZ",
        "first_name": "IRIS",
        "middle_name": "LILIANA",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "2409",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

Verify at the official NPI Registry.