Domingo J. Marques, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2762 Issued in PR

Practice address

607 Ave Condado
Condominio Condado 401
Santurce, PR 00907-3845

Phone

(787) 725-5013

NPI assigned

Dec 19, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Red Metropolitana de Psicologia, CSP

  • Clinical Psychologist
  • Santurce, PR
  • NPI 1275676108
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033272265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AVE LAS CUMBRES",
            "address_2": "LA CIUDADELA APT. 514",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696880",
            "telephone_number": "787-366-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 AVE CONDADO",
            "address_2": "CONDOMINIO CONDADO 401",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009073845",
            "telephone_number": "787-725-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "DOMINGO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Angeles Medical Clinic Corp
• Wanda C Luciano Ortega, PSY.D
• Maribel Malave, PH
• Victor Kevin Maldonado, M.D.
• Jose A Marques Bibiloni Sr., MD
• Doris A Marrero
• Ivan F Marrero, D.M.D.
• Esteban Martinez Lugo
• Jaime Martinez-Souss, M.D.
• Jose L Martinez, MD

• Clinical Psychologist in Santurce, PR
• Providers in Santurce, 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 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.