Maribel Perez-Burgos, PSYD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

1371 Issued in PR

Practice address

100 Ave Laurel , Centro Pediatrico de Bayamon
Hospital Regional de Bayamon, Santa Juanita
Bayamon, PR 00956

Phone

(787) 778-4747

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487870903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CALLE GUARIONEX",
            "address_2": "COLINAS DE BAYOAN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009573783",
            "telephone_number": "787-799-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LAUREL , CENTRO PEDIATRICO DE BAYAMON",
            "address_2": "HOSPITAL REGIONAL DE BAYAMON, SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-778-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-BURGOS",
        "first_name": "MARIBEL",
        "name_prefix": "Miss",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "1371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Patricia Perez Suarez
• Marco Rafael Perez Toro, MD
• Gladys Perez Vega, MD
• Lorena Perez Vera, LSW
• Jean Anfernee Perez Verdejo
• Ricardo Javier Perez-Feliciano, MD
• Elisa N Perez-Moral, LMT
• Carmen I. Perez-Otero, RPH
• Brenda L Perez-Portalatin, O.D.
• Juan Carlos Perez-Santiago, M.D.

• Clinical Child & Adolescent Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Child & Adolescent Psychologist in Puerto Rico

• 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.