Active NPI
Victoria Perez Reyes, PSY D
- Clinical Psychologist
- Isla Verde, PR
National Provider Identifier
1548340482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1480
- Practice address
- New San Juan Comercial Local 4
6471 Isla Verde Ave
Isla Verde, PR 00979-0000 - Phone
- (787) 630-8067
- NPI assigned
- Oct 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1480 | PR | Primary |
Addresses
Primary practice location
New San Juan Comercial Local 4
6471 Isla Verde Ave
Isla Verde, PR 00979-0000
Mailing address
Rio Grande States
11406 Rey Luis XV
Rio Grande, PR 00745-0000
Phone (787) 630-8067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1480 | PR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hector J Guerra | Clinical | Past | Accepting new patients |
| New Health Med Group Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Carolina, PR
- NPI 1295919231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548340482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RIO GRANDE STATES",
"address_2": "11406 REY LUIS XV",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007450000",
"telephone_number": "787-630-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEW SAN JUAN COMERCIAL LOCAL 4",
"address_2": "6471 ISLA VERDE AVE",
"city": "ISLA VERDE",
"state": "PR",
"postal_code": "009790000",
"telephone_number": "787-630-8067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ REYES",
"first_name": "VICTORIA",
"credential": "PSY D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isla Verde, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.