Individual provider Active NPI

Deborah Abril Medina, MASTER D.

  • Psychologist
  • Isabela, PR
National Provider Identifier
1033252358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2018 Issued in PR
Practice address
Carr. #2 Edificio Professional Plaza
Suite 203
Isabela, PR 00662
Phone
(787) 872-1717
Fax
(787) 872-1717
NPI assigned
Feb 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2018 PR Primary

Addresses

Primary practice location

Carr. #2 Edificio Professional Plaza
Suite 203
Isabela, PR 00662

Mailing address

1312 Felix Aldarondo Ave.
PMB 487
Isabela, PR 00662
Phone (787) 872-1717

Other names 1

  • Mrs. Deborah Abril Olarte Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033252358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 FELIX ALDARONDO AVE.",
            "address_2": "PMB 487",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-872-1717",
            "fax_number": "787-872-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 EDIFICIO PROFESSIONAL PLAZA",
            "address_2": "SUITE 203",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-872-1717",
            "fax_number": "787-872-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "DEBORAH",
        "middle_name": "ABRIL",
        "name_prefix": "Mrs.",
        "credential": "MASTER D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "OLARTE",
            "middle_name": "ABRIL",
            "prefix": "MRS.",
            "credential": "MASTER D,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.