Individual provider Active NPI

Cinthia Suzzette Perez Perez, PSYD

  • Clinical Psychologist
  • Aguada, PR
National Provider Identifier
1659848851
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6262 Issued in PR
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
I20230807000071 PR Practitioner - Clinical Psychologist 7214398304 Reassigns benefits to 1 organization
Practice locations: Aguada, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6262PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sane - Sanacion Neuro Energetica Inc Clinical CurrentSince Nov 1, 2023 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.

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

Verify at the official NPI Registry.