PSICOLOGOS CLINICOS DEL SANTURCE MEDICAL MALL, CSP (NPI# 1093001729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093001729 |
| Entity Type | Organization |
| Organization Name | PSICOLOGOS CLINICOS DEL SANTURCE MEDICAL MALL, CSP |
| Practice Address |
1801 Ave Ponce De Leon Suite 311 San Juan PR 00909-1900 |
| Practice Telephone | 7877272424 |
| Practice Fax Number | 7877272424 |
| Mailing Telephone | 7877272424 |
| Mailing Fax Number | 7877272424 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |
| Authorized Official Name | DR. MARIA ELIZABETH CHAVEZ (PRESIDENT) |
| Authorized Official Telephone | 7877272424 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1165 | PR | Ambulatory Health Care Facilities |
| Street Address |
1801 AVE PONCE DE LEON SUITE 311 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00909-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005701 | Manuel Medina | Surgery | 1801 Ave Ponce De Leon, Suite 304, San Juan, PR 00909-1900 | 2005-07-07 |
| 1881155976 | Clinica Medicina Preventiva C.p. | General Practice | 1801 Ave Ponce De Leon, Santurce Medical Mall Suite 101 B, San Juan, PR 00909 | 2019-03-29 |
| 1275036451 | Ag Thyroid & Endocrine Clinic LLC | Internal Medicine | 1801 Ave Ponce De Leon, San Juan, PR 00909-1900 | 2018-03-14 |
| 1275089864 | Caroline M Forastieri Villamil | Psychologist | 1801 Ave Ponce De Leon, Suite 311, San Juan, PR 00909 | 2016-09-01 |
| 1063806008 | Nrmd Health Providers Psc | General Practice | 1801 Ave Ponce De Leon, Suite 206 Santurce Medical Mall, San Juan, PR 00909-1900 | 2015-03-27 |
| 1689065708 | Oficina Medica Dr Pintado P S C | Clinic/Center | 1801 Ave Ponce De Leon, Suite 203, San Juan, PR 00909-1900 | 2015-02-11 |
| 1578980314 | Elizabeth E Martinez | Psychologist | 1801 Ave Ponce De Leon, Suite 311, San Juan, PR 00909-1900 | 2014-03-18 |
| 1053683482 | Maria Victoria Garcia | Psychologist | 1801 Ave Ponce De Leon, Santurce Medical Mall, San Juan, PR 00909-1900 | 2012-02-01 |
| 1558651935 | Manuel Medina | Student in an Organized Health Care Education/Training Program | 1801 Ave Ponce De Leon, San Juan, PR 00909-1900 | 2011-04-19 |
| 1730494493 | M.r. Medical, P.s.c. | Surgery | 1801 Ave Ponce De Leon, Suite 304, San Juan, PR 00909-1900 | 2010-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997862 | Lazo Social, LLC | Clinic/Center | 419 Jose De Diego Street, Suite 9, San Juan, PR 00923 | 2020-09-23 |
| 1750999520 | Trabajo Social Capeles | Clinic/Center | 1519 Ave Pnce De Leon Ste 303, San Juan, PR 00926-2713 | 2020-07-17 |
| 1902423791 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | 996 Calle San Roberto Professional Office Park, Building 5 Pfizer Tower Suite 301, San Juan, PR 00936 | 2020-06-29 |
| 1144840323 | Fbc Mental LLC | Clinic/Center | Carr 21 S 3 # 11 Suite 304, Las Lomas, San Juan, PR 00921-0092 | 2020-04-17 |
| 1841726312 | Organizacion De Ayuda Sicologica Integral Y Social | Clinic/Center | 506a Calle Juan J Jimenez, Avenida Domenech, San Juan, PR 00917-1904 | 2017-05-03 |
| 1003276148 | Dr. Edgar O. Caro Cruz | Clinic/Center | 2 Calle Benito Feijoo, Urbanizacion Villas Del Este, San Juan, PR 00926 | 2016-03-02 |
| 1679904783 | Migdalia Espino | Clinic/Center | 2305 Calle Laurel, Condominio Park Blvd Apt 404, San Juan, PR 00913-4605 | 2013-11-29 |
| 1942502968 | Psych Wellness Center Psc | Clinic/Center | 453 Calle Cesar Gonzalez, Oficina 6, San Juan, PR 00918-2638 | 2010-11-23 |
| 1376711028 | Instituto Para El Desarrollo Personal, Inc. | Clinic/Center | 364 Calle San Jorge Apt 4b, Condominio Las Carmelitas, San Juan, PR 00912-3318 | 2008-02-15 |
| 1144439621 | San Juan Capestrano Hospital, Inc. | Clinic/Center | 1135 65th Infantry Ave, Iturregui Plaza Space 17, San Juan, PR 00924 | 2007-05-22 |
| Find all providers in SAN JUAN | ||||
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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.