Individual provider Active NPI

Ena L Garcia-Perez, PSY D

  • Clinical Psychologist
  • Manati, PR
National Provider Identifier
1659694446
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001284 Issued in PR
Practice address
10 Calle Betances
Suite 1
Manati, PR 00674-5117
Phone
(787) 406-4275
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 001284 PR Primary

Addresses

Primary practice location

10 Calle Betances
Suite 1
Manati, PR 00674-5117

Mailing address

PO Box 487
Manati, PR 00674-0487
Phone (787) 406-4275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110420000610 PR Practitioner - Clinical Psychologist 4880879667 Practice locations: Vega Baja, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001284PRMDClinical Psychologist
1284PRMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1659694446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740487",
            "telephone_number": "787-406-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE BETANCES",
            "address_2": "SUITE 1",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745117",
            "telephone_number": "787-406-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-PEREZ",
        "first_name": "ENA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "001284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.