Active NPI
Ileanex Perez, PH.D.
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1578998050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5372
- Practice address
- 2351 Blvd Luis a Ferre
Ponce, PR 00717-0776 - Phone
- (787) 290-1111
- NPI assigned
- Sep 4, 2013
- Last updated
- Sep 4, 2013
- 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 | 5372 | PR | Primary |
Addresses
Primary practice location
2351 Blvd Luis a Ferre
Ponce, PR 00717-0776
Mailing address
2351 Luis a. Ferre Boulevard
Ponce, PR 00731-2351
Phone (787) 290-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5372 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospective Psychiatry Group, PSC | Past | Accepting new patients | |
| Clinica Armonia LLC | 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
- Ponce, PR
- NPI 1861353062
-
- Psychiatry Physician
- Mayaguez, PR
- NPI 1023386026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1578998050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 LUIS A. FERRE BOULEVARD",
"city": "PONCE",
"state": "PR",
"postal_code": "007312351",
"telephone_number": "787-290-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 BLVD LUIS A FERRE",
"city": "PONCE",
"state": "PR",
"postal_code": "007170776",
"telephone_number": "787-290-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ILEANEX",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.