Active NPI
Hilkamida Del Carmen Dominguez Martinez, DC
- Intellectual & Developmental Disabilities Psychologist
- Ponce, PR
National Provider Identifier
1033323266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- License
- 2543
- Practice address
- Number 2 Ana D Perez Marshand Street
Industrial Reparada
Ponce, PR 00732-7004 - Phone
- (787) 840-0052
- Fax
- (787) 284-3619
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 2543 | PR | Primary |
Addresses
Primary practice location
Number 2 Ana D Perez Marshand Street
Industrial Reparada
Ponce, PR 00732-7004
Mailing address
Ext Alta Vista Calle 27 ZZ-2
Ponce, PR 00731
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2543 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiber Health, Public Benefit Corporation | Past | Accepting new patients | |
| Ponce Medical School Foundation Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Ponce, PR
- NPI 1043208804
-
- Multi-Specialty Clinic/Center
- Ponce, PR
- NPI 1184139602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1033323266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EXT ALTA VISTA CALLE 27 ZZ-2",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"fax_number": "787-284-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NUMBER 2 ANA D PEREZ MARSHAND STREET",
"address_2": "INDUSTRIAL REPARADA",
"city": "PONCE",
"state": "PR",
"postal_code": "007327004",
"telephone_number": "787-840-0052",
"fax_number": "787-284-3619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ MARTINEZ",
"first_name": "HILKAMIDA",
"middle_name": "DEL CARMEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "PR",
"license": "2543",
"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 Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.