Active NPI
Dennisse M Perez, PH.D.
- Clinical Psychologist
- Hato Rey, PR
National Provider Identifier
1982978912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4164
- Practice address
- Urb. Roosevelt 403 Calle Pedro Espada
Ste. 3
Hato Rey, PR 00918-2800 - Phone
- (787) 294-6849
- NPI assigned
- Mar 8, 2012
- 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 | 4164 | PR | Primary |
Addresses
Primary practice location
Urb. Roosevelt 403 Calle Pedro Espada
Ste. 3
Hato Rey, PR 00918-2800
Mailing address
Alturas de Flamboyan 19 St. GG-19
Bayamon, PR 00959-8066
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 |
|---|---|---|---|
| 4164 | PR | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1982978912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALTURAS DE FLAMBOYAN 19 ST. GG-19",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009598066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. ROOSEVELT 403 CALLE PEDRO ESPADA",
"address_2": "STE. 3",
"city": "HATO REY",
"state": "PR",
"postal_code": "009182800",
"telephone_number": "787-294-6849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "DENNISSE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "4164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.