Provider Demographics
NPI:1376313023
Name:CABAN PEREZ, JOSY M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOSY
Middle Name:M
Last Name:CABAN 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 14305
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-9672
Mailing Address - Country:US
Mailing Address - Phone:787-464-7157
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 495 KM3 HM4
Practice Address - Street 2:CERRO GORDO
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-0067
Practice Address - Country:US
Practice Address - Phone:787-464-7157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7889103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical