Active NPI
Tatiana Marie Perez, M.A
- Counseling Psychologist
- Naguabo, PR
National Provider Identifier
1780970319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3394
- Practice address
- 55 Calle 5
Juan B Mendoza
Naguabo, PR 00718-2109 - Phone
- (787) 409-3188
- NPI assigned
- Jun 22, 2011
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3394 | PR | Primary |
Addresses
Primary practice location
55 Calle 5
Juan B Mendoza
Naguabo, PR 00718-2109
Mailing address
St.2 Vista de Rio Blanco86
Naguabo, PR 00718
Phone (787) 409-3188
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3394 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1780970319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST.2 VISTA DE RIO BLANCO86",
"city": "NAGUABO",
"state": "PR",
"postal_code": "00718",
"telephone_number": "787-409-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CALLE 5",
"address_2": "JUAN B MENDOZA",
"city": "NAGUABO",
"state": "PR",
"postal_code": "007182109",
"telephone_number": "787-409-3188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "TATIANA",
"middle_name": "MARIE",
"credential": "M.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "3394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naguabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.