Healthcare Provider Details

I. General information

NPI: 1124527486
Provider Name (Legal Business Name): DAVID JESUS ALCALA PEREZ PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2018
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 AVE PONCE DE LEON NACIONAL PLAZA BUILDING SUITE 1501B
SAN JUAN PR
00917-3418
US

IV. Provider business mailing address

UU1 CALLE 39 PMB 224 SANTA JUANITA MAIL STATION
BAYAMON PR
00956
US

V. Phone/Fax

Practice location:
  • Phone: 787-717-7005
  • Fax:
Mailing address:
  • Phone: 787-717-7005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number5339
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number5339
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: