Maria de Los A Burgos Carrion, PSY.D
Individual provider Active NPI Clinical Psychologist · Catano, PR
NPI 1003085622 · NPPES record last updated Aug 28, 2014
Key facts
- NPI
- 1003085622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2942 (PR)
- Practice address
- 16 Calle Principal
Urbanizacion Bay View
Catano, PR 00962-4269 - Phone
- (787) 667-3546
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2942 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Foundation of Puerto Rico, Inc. | Current | Accepting new patients | |
| Community Health Foundation of Puerto Rico, Inc. | Current |
Accepting new patients | |
| Bay View Behavioral Center Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2942 | PR | Yes |
Addresses
Primary practice location
16 Calle Principal
Urbanizacion Bay View
Catano, PR 00962-4269
Mailing address
16 Ave Principal
Urbanizacion Bay View
Catano, PR 00962-4269
Phone (787) 667-3546
Other providers in Catano, PR
- Deyanira Blumenkron
- Kalimarie Bonilla Pietri
- Cristian Borroto
- Boulevard Cardiovascular Diagnostic Inc
- Deymar Bruno Martinez
- Joanne Cardona
- Caribbean Produce Exchange, LLC
- Maria E. Carrascal
- Casita de Amor
- Castro & Rivera Psychological Services, LLC
All providers in Catano, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.