Healthcare Provider Details

I. General information

NPI: 1316880552
Provider Name (Legal Business Name): JOSAIDA LUZ PEREZ MOTTA MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 101 KM 7.6 BO. PALMAREJO
LAJAS PR
00667
US

IV. Provider business mailing address

PO BOX 636
BOQUERON PR
00622-0636
US

V. Phone/Fax

Practice location:
  • Phone: 787-899-4370
  • Fax:
Mailing address:
  • Phone: 939-344-0886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6108
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: