Mayra Edith Mojica Colon, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6517 Issued in PR

Practice address

Carr #2 KM 156.5
Ste a-13 Medical Emporium
Mayaguez, PR 00680-1502

Phone

(787) 590-2069

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1013547785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3224",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006673224",
            "telephone_number": "787-590-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 156.5",
            "address_2": "STE A-13 MEDICAL EMPORIUM",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801502",
            "telephone_number": "787-590-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJICA COLON",
        "first_name": "MAYRA",
        "middle_name": "EDITH",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MM Management Corp
• MMC Med Group LLC
• MMC Plus, Inc.
• MMCW Family Medical Center LLC
• MMR Instituto de Medicina de Familia del Oeste CSP
• Momas Respiratory Care LLC
• Gabriel Oscar Monagas, M.D.
• Neal C Monagas, M.D.
• Diana Celeste Moni Febles
• Francisco M. Montalvo, M.D.

• Clinical Psychologist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.