Active NPI
Rosa H. Perez, PH. D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1962836940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 004728
- Practice address
- Calle Eleanor Roosevelt Num 232
Suite 113
San Juan, PR 00918 - Phone
- (787) 513-5579
- NPI assigned
- Aug 27, 2013
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 004728 | PR | Primary |
Addresses
Primary practice location
Calle Eleanor Roosevelt Num 232
Suite 113
San Juan, PR 00918
Mailing address
Calle Eleanor Roosevelt Num 232
Suite 113
San Juan, PR 00918
Phone (787) 513-5579
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004728 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1962836940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE ELEANOR ROOSEVELT NUM 232",
"address_2": "SUITE 113",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-513-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE ELEANOR ROOSEVELT NUM 232",
"address_2": "SUITE 113",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-513-5579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ROSA",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "004728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.