JACLYN PEREZ (NPI# 1124334727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124334727 |
| Entity Type | Individual |
| Full Name | JACLYN PEREZ |
| Practice Address |
Vega Alta Community Health St. #2 Km 31.4 Bario Bajuras Vega Alta PR 00692-5835 |
| Practice Telephone | 9399697529 |
| Mailing Telephone | 9399697529 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
899 | PR | Behavioral Health & Social Service Providers |
| Y | 103TS0200X |
Psychologist Specialization: School |
3630 | PR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336784420 | Jaclyn Perez | Physical Therapy Assistant | 7710 W Interstate 10, San Antonio, TX 78230-4711 | 2019-11-12 |
| 1447739438 | Jaclyn Perez | Specialist/Technologist | 1701 N Alton Blvd Ste 3, Alton, TX 78573-1173 | 2018-08-09 |
| 1174779375 | Jaclyn M Perez | Nurse Practitioner | 800 Weatherly Dr, Ste 201, Clarksville, TN 37043-8957 | 2008-08-07 |
| Street Address |
VEGA ALTA COMMUNITY HEALTH ST. #2 KM 31.4 BARIO BAJURAS |
| City | VEGA ALTA |
| State | PR |
| Zip Code | 00692-5835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588561 | Evelyn Tellado | Physician Assistant | Bo Sabana Hoyos Sec Villa Laguna 383, St Eugenio Maria De Hostos, Vega Alta, PR 00692 | 2020-11-06 |
| 1457952699 | Optica Lm LLC | Durable Medical Equipment & Medical Supplies | Palmas De Cerro Gordo 144, Calle Real G-35, Vega Alta, PR 00692 | 2020-11-04 |
| 1396357802 | Morovis Community Health Center, Inc. | Clinic/Center | Bo. Espinoza, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-08-18 |
| 1831707546 | Morovis Community Health Center Inc | Clinic/Center | Bo. Espinosa, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-07-20 |
| 1205458379 | Veronica Cristina Ramos Caban | Physician Assistant | Pr-693 Suite 171 Bo. BreÑas, Vega Alta, PR 00692 | 2020-05-12 |
| 1629698196 | Wildalis Novoa-vidot | Student in an Organized Health Care Education/Training Program | Bo Santa Rosa Calle Las Violetas Int Finca#1, Vega Alta, PR 00692 | 2020-04-24 |
| 1073143780 | Andre Medina-sanchez | General Practice | Carr #2 Km 31.9, Bo. Bajura, Vega Alta, PR 00692 | 2020-01-22 |
| 1437797396 | Vega Alta X Ray | Radiology | Urb. Santa Rita, H48 Interior, Vega Alta, PR 00692 | 2019-12-11 |
| 1083251367 | Carmen Milagros Garcia Barreto | Pharmacist | Bo Espinosa Carr 2 Km 30 H 1, Vega Alta, PR 00692 | 2019-12-05 |
| 1255976676 | Carmen M. Navedo-rosado | Social Worker | Calle Higuero #46, Bo. Bajura Almirante, Vega Alta, PR 00692 | 2019-11-08 |
| Find all providers in zip 00692 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114394368 | Maricelis Aquino | Psychologist | Plaza Del Mar Shopping Center, Carr.693, 2do Nivel Sector Brenas, Vega Alta, PR 00692 | 2015-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132318 | Maria G Balaguer | Psychologist | Porticos De Guaynabo Calle 1 Villegas, Apt 1-201, Guaynabo, PR 00971 | 2020-10-20 |
| 1083229561 | Beverly Francis | Psychologist | 3 Calle Mango, Caguas, PR 00725-3949 | 2020-09-11 |
| 1578178976 | Zadeth Y Orama Vega | Psychologist | 42831 Carr. #482, Quebradillas, PR 00678 | 2020-09-11 |
| 1821624032 | Keishla Cartagena | Psychologist | Carr 722 Km 3.9 Bo Rabanal Sector La Sierra, Aibonito, PR 00705 | 2020-03-19 |
| 1053943456 | Gabriela J Calderon | Psychologist | D17 Calle 3, Bayamon, PR 00957-6809 | 2020-02-04 |
| 1205466943 | Zarechly Rodriguez-ruiz | Psychologist | Urb. Hillside Calle 8, M 6, San Juan, PR 00926 | 2020-01-22 |
| 1700425899 | Cynthia Vilmary Rijos Rijos | Psychologist | Repto Mariela D12 Bo Quebrada Cruz, Toa Alta, PR 00953-9346 | 2020-01-06 |
| 1649818949 | Astrid Rivera | Psychologist | Carretera 121, Km. 13.3, Yauco, PR 00698 | 2019-12-17 |
| 1558910570 | Cristina Perea | Psychologist | Carr 102 K.m. 5.4 Gonzalez Clemente Ave 445, Val Harbor Plaza Suite 216, Mayaguez, PR 00680 | 2019-09-11 |
| 1467926055 | Jonathan Torres | Psychologist | Sf4 Calle Diana, Toa Baja, PR 00949-3619 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.