Active NPI
Robert Peralta, M.A.
- Counseling Psychologist
- Trujillo Alto, PR
National Provider Identifier
1902215437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3142
- Practice address
- Carr. Estatal 8860 KM. 1.2 Plaza Matienzo
Bo. Las Cuevas Sector Matienzo
Trujillo Alto, PR 00976 - Phone
- (787) 633-6884
- NPI assigned
- Aug 8, 2014
- Sex
- Male
- 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 | 3142 | PR | Primary |
Addresses
Primary practice location
Carr. Estatal 8860 KM. 1.2 Plaza Matienzo
Bo. Las Cuevas Sector Matienzo
Trujillo Alto, PR 00976
Mailing address
Carr. Estatal 8860 KM. 1.2 Plaza Matienzo
Bo. Las Cuevas Sector Matienzo
Trujillo Alto, PR 00976
Phone (787) 633-6884
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 |
|---|---|---|---|
| 3142 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1902215437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR. ESTATAL 8860 KM. 1.2 PLAZA MATIENZO",
"address_2": "BO. LAS CUEVAS SECTOR MATIENZO",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-633-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. ESTATAL 8860 KM. 1.2 PLAZA MATIENZO",
"address_2": "BO. LAS CUEVAS SECTOR MATIENZO",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-633-6884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "ROBERT",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-08",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "3142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.