Individual provider Active NPI

Nilda R Tarafa, PSYCOLOGY-DOCTOR

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1003057571
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4346 Issued in PR
Practice address
Cond First Federal 1056
Suite 914 Ave. Munoz Rivera
San Juan, PR 00927
Phone
(787) 315-6046
Fax
(787) 296-4628
NPI assigned
Mar 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4346 PR Primary

Addresses

Primary practice location

Cond First Federal 1056
Suite 914 Ave. Munoz Rivera
San Juan, PR 00927

Mailing address

PO Box 366426
San Juan, PR 00936-6426
Phone (787) 315-6046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4346PRMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1003057571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366426",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366426",
            "telephone_number": "787-315-6046",
            "fax_number": "787-296-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND FIRST FEDERAL 1056",
            "address_2": "SUITE 914 AVE. MUNOZ RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-315-6046",
            "fax_number": "787-296-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAFA",
        "first_name": "NILDA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PSYCOLOGY-DOCTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.