Active NPI
Cinthia Suzzette Perez Perez, PSYD
- Clinical Psychologist
- Aguada, PR
National Provider Identifier
1659848851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6262
- Practice address
- Edificio Aguada Complex Suite 5 Carr 115
Aguada, PR 00602 - Phone
- (787) 487-9086
- NPI assigned
- Oct 26, 2018
- Last updated
- Jul 6, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6262 | PR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | PR | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
Edificio Aguada Complex Suite 5 Carr 115
Aguada, PR 00602
Mailing address
134 Wing Road #8
Aguadilla, PR 00603
Phone (646) 469-1411
Other practice location 1
134 Wing Road #8
Aguadilla, PR 00603-2347
Phone (646) 469-1141
Other names 1
- Dr. Cinthia Suzzette Perez-Perez
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6262 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sane - Sanacion Neuro Energetica Inc | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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
- Aguada, PR
- NPI 1780465849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1659848851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 WING ROAD #8",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "646-469-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIFICIO AGUADA COMPLEX SUITE 5 CARR 115",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-487-9086"
}
],
"practiceLocations": [
{
"address_1": "134 WING ROAD #8",
"address_purpose": "LOCATION",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006032347",
"country_code": "US",
"telephone_number": "646-469-1141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ PEREZ",
"first_name": "CINTHIA SUZZETTE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6262",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CINTHIA SUZZETTE",
"last_name": "PEREZ-PEREZ",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.