Active NPI
Stephanie Marie Perez Olan
- Student in an Organized Health Care Education/Training Program
- Mayaguez, PR
National Provider Identifier
1588437735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2552
- Practice address
- 325 Ave Algarrobo # 175
Mayaguez, PR 00682-6343 - Phone
- (787) 641-7582
- NPI assigned
- Oct 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2552 | PR | Primary |
Addresses
Primary practice location
325 Ave Algarrobo # 175
Mayaguez, PR 00682-6343
Mailing address
865 Bellevue Rd Apt B9
Nashville, TN 37221-7711
Phone (787) 955-3748
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2552 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1588437735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 BELLEVUE RD APT B9",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372217711",
"telephone_number": "787-955-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 AVE ALGARROBO # 175",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006826343",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ OLAN",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-31",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "2552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- Omar Javier Perez Jimenez, M.D.
- Luis R. Perez Laguillo, M.D.
- Jose Carlos Perez Lopez, M.D.
- Yadira Perez Mangual
- Ivelisse Perez Matias, LMSW
- Lydia Vanessa Perez Perez
- Lillian Ivette Perez Rivera, RPH
- Ruth Delly Perez Rivera, PHARMACY TECHNICIAN
- Adrian Jose Perez Rodriguez, DC
- Jannette Perez Santiago, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.