Coralee Perez Pedrogo, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3283 Issued in PR

Practice address

Condado Street Number 607
Cond. Condado Office 401
Santurce, PR 00907

Phone

(787) 299-4792

Fax

(787) 725-5013

NPI assigned

Mar 6, 2009

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)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1528208337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VILLA NEVAREZ STREET 10",
            "address_2": "1020",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009270152",
            "telephone_number": "787-299-4792",
            "fax_number": "787-751-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDADO STREET NUMBER 607",
            "address_2": "COND. CONDADO OFFICE 401",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-299-4792",
            "fax_number": "787-725-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PEDROGO",
        "first_name": "CORALEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yadira Eileen Perez, DMD
• Jose Rafael Pesquera-Garcia, M.D.
• Phalanx Orthopedic Real Estate

• Clinical Psychologist in Santurce, PR
• Providers in Santurce, 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 Sep 23, 2009; 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.