Healthcare Provider Details

I. General information

NPI: 1659288157
Provider Name (Legal Business Name): DR. BEVERLY PEREZ MALDONADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE PADRE RIVERA 15 OESTE SEGUNDO PISO
HUMACAO PR
00791-3691
US

IV. Provider business mailing address

30 CALLE AMATISTA
CAGUAS PR
00725-1904
US

V. Phone/Fax

Practice location:
  • Phone: 787-529-1559
  • Fax:
Mailing address:
  • Phone: 787-529-1559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8238
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: