Active NPI
Rosalice Perez-Burgos, PSY.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1952541609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1863
- Practice address
- Yaboa Real Street # 830
Country Club
San Juan, PR 00924 - Phone
- (787) 752-4464
- Fax
- (787) 257-4195
- NPI assigned
- Feb 20, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1863 | PR | Primary |
Addresses
Primary practice location
Yaboa Real Street # 830
Country Club
San Juan, PR 00924
Mailing address
Pobox 29777
San Juan, PUERTO RICO 00929
UM
Phone (787) 752-4464
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1863 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1952541609",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "POBOX 29777",
"city": "SAN JUAN",
"state": "PUERTO RICO",
"postal_code": "00929",
"telephone_number": "787-752-4464",
"fax_number": "787-257-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "YABOA REAL STREET # 830",
"address_2": "COUNTRY CLUB",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-752-4464",
"fax_number": "787-257-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-BURGOS",
"first_name": "ROSALICE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Lorena Perez Velez, MD
- Carlos Ruben Perez Vizcarrondo, MD
- Danielle Nicole Perez Zamora, MD
- Luis Perez-Abreu, M.D.
- Sergio Gabriel Perez-Acevedo
- Vigmalia Perez-Calo, MSW
- Carina Perez-Cisneros Armenteros, DMD
- Adolfo Perez-Comas, MD,PHD, FACE
- Hortensia Perez-Cuevas, M.D.
- Marco Antonio Perez-Davila, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.