MR. DEMETRIO J. MADERA (NPI# 1538441308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538441308 |
Entity Type | Individual |
Full Name | MR. DEMETRIO J. MADERA |
Credential | PSY.D. |
Practice Address |
1010 Paseo Del Veterano Ponce PR 00716-2001 |
Mailing Address |
2150 Ponce Byp # Ponce Paseo Del Veterano 1010 Ponce PR 00716-0300 |
Practice Telephone | 7876417582 |
Mailing Telephone | 7876417582 |
Enumeration Date | 2011-09-16 |
Last Update Date | 2017-03-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
004574 | PR | Behavioral Health & Social Service Providers |
Street Address |
1010 PASEO DEL VETERANO |
City | PONCE |
State | PR |
Zip Code | 00716-2001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215994629 | Annette Valle | Occupational Therapist | 1010 Paseo Del Veterano, Ponce, PR 00716-2001 | 2006-04-28 |
1003353608 | Sindy Candelario Gonzalez | Pharmacist | 1010 Paseo Del Veterano, Ponce, PR 00716-2001 | 2017-01-21 |
1154873925 | Francisco Torres Vazquez | Social Worker | 1010 Paseo Del Veterano, Ponce, PR 00716-2001 | 2016-10-27 |
1205132867 | Department of Veteran Affairs | Clinic/Center | 1010 Paseo Del Veterano, Ponce, PR 00716-2001 | 2011-01-31 |
1720233372 | Josie Marie Santana | Social Worker | 1010 Paseo Del Veterano, Ponce, PR 00716-2001 | 2008-11-24 |
1114172756 | Obed Jesus Aponte | Social Worker | 1010 Paseo Del Veterano, Ponce, PR 00716-2001 | 2008-11-24 |
1346406980 | Rosario M. Flores | Occupational Therapist | 1010 Paseo Del Veterano, Ponce, PR 00716-2001 | 2008-08-04 |
1881797207 | Nancy Morales-rodriguez | Psychiatry & Neurology | 1010 Paseo Del Veterano, Ponce, PR 00716-2001 | 2006-09-07 |
1548376924 | Magda A Riega Echevarria | Psychiatry & Neurology | 1010 Paseo Del Veterano, Ponce, PR 00716-2001 | 2006-08-21 |
1215948518 | Raul A Armstrong | Surgery | 1010 Paseo Del Veterano, V.a. Ponce Outpatient Clinic, Ponce, PR 00716-2001 | 2006-08-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275148041 | Amanda Ivette Orta Colon | General Practice | Los Caobos C/guayacan #1691, Ponce, PR 00716 | 2020-09-09 |
1568074052 | Isabel Victoria Vazquez Morales | Student in an Organized Health Care Education/Training Program | 388 Zona Industrial Rapada 2, Ponce, PR 00716 | 2020-08-18 |
1629687199 | Maria Elena Carvajal Mock | Student in an Organized Health Care Education/Training Program | La Alhambra, Calle Lindaraja 2609, Ponce, PR 00716 | 2020-07-30 |
1518576651 | Gabriel Domingo Palmieri Lagares | Student in an Organized Health Care Education/Training Program | Villa Del Carmen Ave Constancia 4406, Ponce, PR 00716 | 2020-07-24 |
1417565151 | Jose Rafael Pascual | Student in an Organized Health Care Education/Training Program | Phsu,388 Zona Industrial Reparada 2,ponce,pr 00716, Ponce, PR 00716 | 2020-07-20 |
1790302412 | Isha Marie Valerio Martinez | Social Worker | Urb Villa Del Carmen Ave Constancia, 4407, Ponce, PR 00716 | 2020-06-29 |
1619592011 | Luz Jeilin Morales Cruz | Psychologist | Urb Inductrial Reparada #291, Ponce, PR 00716 | 2020-06-11 |
1609491208 | Hogar Las Aguilas Incorporado | Custodial Care Facility | La Rambla Office Park, 621 Carr 14 Calle Marginal, Ponce, PR 00716 | 2020-06-10 |
1841813607 | Special Tactics and Rescue Services Corp | Case Management | 6020 Amalia Marin, Trucha, Ponce, PR 00716 | 2020-05-27 |
1629691274 | Heidi Ann Negron | Registered Nurse | Parcelas Sabanetas 25 Julio, 132, Ponce, PR 00716 | 2020-05-18 |
Find all providers in zip 00716 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619592011 | Luz Jeilin Morales Cruz | Psychologist | Urb Inductrial Reparada #291, Ponce, PR 00716 | 2020-06-11 |
1255967444 | Marilia Padua Quiles | Psychologist | 1805 Paseo La Colonia Ste 2, Urb. Constancia Codech Office Park, Ponce, PR 00717 | 2020-03-19 |
1235761206 | Gilmarie Berrios | Psychologist | Urb Casamia Calle Zorzal 5109, Ponce, PR 00728-3400 | 2020-02-07 |
1255988333 | Ana Gabriela Dieppa Lopez De Victoria | Psychologist | Haciendas Del Monte, 6016 Paseo Concordia, Ponce, PR 00780 | 2019-08-22 |
1699321968 | Preventive Care Services By Apex | Psychologist | 909 Ave Tito Castro Ste 105, Ponce, PR 00716-4720 | 2019-08-13 |
1295220556 | Wilson Eddie Torres Santos | Psychologist | Calle Comercio #96 Local #3, Ponce, PR 00730 | 2018-06-28 |
1275032666 | Janice Figueroa Rodriguez | Psychologist | 4327 Calle 58, 4ta Ext Jardines Del Caribe, Ponce, PR 00728 | 2018-02-12 |
1659870293 | Jennifer Mercado | Psychologist | 472 Ave Tito Castro Ste 100, Ponce, PR 00716-4702 | 2018-02-09 |
1689104325 | Angel Manuel Munoz Alicea | Psychologist | 4009 Calle Carlos Cartagena Suite B, Urb Perla Del Sur, Ponce, PR 00717 | 2017-06-15 |
1891229134 | Nivia Isabel Rodriguez Hernandez | Psychologist | 1805 Urb Constancia, Paseo La Colonia Ste. 2, Ponce, PR 00717-0000 | 2017-04-13 |
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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.