Active NPI
Isaura Perez
- Clinical Psychologist
- Luquillo, PR
National Provider Identifier
1639488158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3620
- Practice address
- 3 Street. B-6
Urb. Paisaje del Rio
Luquillo, PR 00773 - Phone
- (787) 477-5050
- NPI assigned
- Oct 1, 2010
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3620 | PR | Primary |
Addresses
Primary practice location
3 Street. B-6
Urb. Paisaje del Rio
Luquillo, PR 00773
Mailing address
Buganvilla R617
Urb Loiza Valley
Canovanas, PR 00729
Phone (787) 477-5050
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 |
|---|---|---|---|
| 3620 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285891200000",
"number": "1639488158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BUGANVILLA R617",
"address_2": "URB LOIZA VALLEY",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-477-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 STREET. B-6",
"address_2": "URB. PAISAJE DEL RIO",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "00773",
"telephone_number": "787-477-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ISAURA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-01",
"last_updated": "2010-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luquillo, PR
- Emily Ortiz, RPH
- Jesus Orlando Ortiz
- Fernando A Pablos Vega, MD
- Giorines Pena - Cruz, LND
- Marylin Jazmin Perez Rivera, LICENCIADA(LCDA.)
- Physical Medicine Consultants Centro Fisiatrico del Caribe
- Anabel Pizarro Rios, PHARM D.
- Fernando Luis Pizarro
- Preds, Corp
- Puerto Rico Primary Care Mso, Inc. - CDT Luquillo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.