Active NPI
Betsaida Perez
- Addiction (Substance Use Disorder) Counselor
- Penuelas, PR
National Provider Identifier
1982910105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ACII15622376
- Practice address
- Hco1 Box 9761
Bo Tallaboa Alta Sector la Moca
Penuelas, PR 00624 - Phone
- (787) 391-7876
- Fax
- (787) 844-4130
- NPI assigned
- Aug 25, 2010
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACII15622376 | PR | Primary |
Addresses
Primary practice location
Hco1 Box 9761
Bo Tallaboa Alta Sector la Moca
Penuelas, PR 00624
Mailing address
Hco1 Box 9761
Bo Tallaboa Alta Sector la Moca
Penuelas, PR 00624
Phone (787) 391-7876
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 |
|---|---|---|---|
| ACII15622376 | PR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1982910105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HCO1 BOX 9761",
"address_2": "BO TALLABOA ALTA SECTOR LA MOCA",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "787-391-7876",
"fax_number": "787-844-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HCO1 BOX 9761",
"address_2": "BO TALLABOA ALTA SECTOR LA MOCA",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "787-391-7876",
"fax_number": "787-844-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "BETSAIDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PR",
"license": "ACII15622376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penuelas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.