Active NPIIndividual provider

Lissette Heredia Perez, PSY D

Psychologist in Quebradillas, Puerto Rico

NPI Number1619041472
Practice location
Carr #2 Km 101.5 Bo Terranova, Quebradillas, PR 00678
Fax
787-895-7915
Last updated
July 8, 2007

Lissette Heredia Perez is a Psychologist based in Quebradillas, PR. Lissette Heredia Perez practices in Quebradillas, PR and has the professional credentials of PSY D. The NPI Number for Lissette Heredia Perez is 1619041472 and holds a License No. 1443 (PR). The current practice location address for Lissette Heredia Perez is Carr #2 Km 101.5 Bo Terranova, Quebradillas, PR 00678 and can be reached out via phone at 787-895-7915 and via fax at 787-895-7915.

Provider Profile Details

NPI Number
1619041472
Provider Name
Lissette Heredia Perez
Credential
PSY D
Provider Entity Type
Individual
Gender
Female
Address
Carr #2 Km 101.5 Bo Terranova, Quebradillas, PR 00678
Phone Number
787-895-7915
Fax Number
787-895-7915
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
November 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr #2 Km 101.5 Bo Terranova
Quebradillas, PR 00678
Zip
00678
Phone Number
787-895-7915
Fax Number
787-895-7915
Quebradillas, PR 00678Get directions →

Provider Business Mailing Address Details

Address
Hc 02 Box 8516
Quebradillas, PR 00678
City
Quebradillas
State
PR
Zip
00678

License Information

License Number
1443
License State
PR
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lissette Heredia Perez, PSY D?

The NPI number of Lissette Heredia Perez, PSY D is 1619041472. It was assigned on November 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Lissette Heredia Perez, PSY D?

Lissette Heredia Perez, PSY D is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in PR under license number 1443.

Where does Lissette Heredia Perez, PSY D practice?

The practice location is Carr #2 Km 101.5 Bo Terranova, Quebradillas, PR 00678. The office can be reached at 787-895-7915 (phone) or 787-895-7915 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619041472 directly on the NPPES registry website.

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