Individual provider Active NPI

Jorge A Perez Arocho, MA

  • Psychologist
  • Isabela, PR
National Provider Identifier
1679391858
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3280 Issued in PR
Practice address
Centro Isabelino de Medicina Avanzada (Cima)
Suite 11
Isabela, PR 00662
Phone
(939) 254-0727
NPI assigned
Sep 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3280 PR Primary
Counseling Psychologist 103TC1900X 3280 PR

Addresses

Primary practice location

Centro Isabelino de Medicina Avanzada (Cima)
Suite 11
Isabela, PR 00662

Mailing address

HC 3 Box 8349
Lares, PR 00669-9573
Phone (939) 254-0727

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3280PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Oniric Psychology Studio Psychologist CurrentSince Oct 27, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1679391858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 8349",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006699573",
            "telephone_number": "939-254-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO ISABELINO DE MEDICINA AVANZADA (CIMA)",
            "address_2": "SUITE 11",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "939-254-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ AROCHO",
        "first_name": "JORGE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-27",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3280",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "3280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.