Healthcare Provider Details

I. General information

NPI: 1033057211
Provider Name (Legal Business Name): RAFAEL JOSE PEREZ-OJEDA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 EXT VISTAS DE CAMUY
CAMUY PR
00627-2931
US

IV. Provider business mailing address

314 EXT VISTAS DE CAMUY
CAMUY PR
00627-2931
US

V. Phone/Fax

Practice location:
  • Phone: 787-405-0850
  • Fax:
Mailing address:
  • Phone: 787-405-0850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number7594
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: