Provider Demographics
NPI:1063224137
Name:ROMAN-PEREZ, ANANGELYS (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANANGELYS
Middle Name:
Last Name:ROMAN-PEREZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 17826
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9502
Mailing Address - Country:US
Mailing Address - Phone:787-405-1913
Mailing Address - Fax:
Practice Address - Street 1:FARO 2, SUITE H
Practice Address - Street 2:BO. BORINQUEN
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:939-312-9079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8277103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist