Individual provider Active NPI

Orlando Javier Ostolaza, PH.D.

  • Counseling Psychologist
  • Ponce, PR
National Provider Identifier
1013393644
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5519 Issued in PR
Practice address
7490 Perpetuo Socorro
Santa Maria
Ponce, PR 00717-1012
Phone
(787) 601-5284
NPI assigned
Aug 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 5519 PR Primary

Addresses

Primary practice location

7490 Perpetuo Socorro
Santa Maria
Ponce, PR 00717-1012

Mailing address

7490 Perpetuo Socorro
Santa Maria
Ponce, PR 00717-1012
Phone (787) 601-5284

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5519PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1013393644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 PERPETUO SOCORRO",
            "address_2": "SANTA MARIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171012",
            "telephone_number": "787-601-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 PERPETUO SOCORRO",
            "address_2": "SANTA MARIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171012",
            "telephone_number": "787-601-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTOLAZA",
        "first_name": "ORLANDO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.