Provider Demographics
NPI:1104914647
Name:PEREZ GONZALEZ, ALBERTO (PSY D)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:PEREZ GONZALEZ
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB PARQUE FLAMINGO
Mailing Address - Street 2:183 ALEXANDRIA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-0000
Mailing Address - Country:US
Mailing Address - Phone:787-730-1925
Mailing Address - Fax:787-730-1925
Practice Address - Street 1:ROYAL TOWN
Practice Address - Street 2:X-6 LAS CUMBRES AVE
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-0000
Practice Address - Country:US
Practice Address - Phone:787-730-1925
Practice Address - Fax:787-730-1925
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2022103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical