Healthcare Provider Details

I. General information

NPI: 1700715455
Provider Name (Legal Business Name): DORIS CELIA PEREZ PSICOLOGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PRIMAVERA 167 URB. LA SERRANIA
CAGUAS PR
00725
US

IV. Provider business mailing address

PRIMAVERA 167 URB. LA SERRANIA
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-927-3694
  • Fax:
Mailing address:
  • Phone: 787-927-3694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7227
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: