Individual provider Active NPI

Victor E Ruemmele, MPSYC

  • Psychologist
  • Guayama, PR
National Provider Identifier
1043636251
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5586 Issued in PR
Practice address
B14 Ave. Los Veteranos,
Urb. Villa Rosa #3
Guayama, PR 00784
Phone
(787) 484-4168
NPI assigned
Mar 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5586 PR Primary

Addresses

Primary practice location

B14 Ave. Los Veteranos,
Urb. Villa Rosa #3
Guayama, PR 00784

Mailing address

Golden Gate 1 D-G5
Bairoa,
Caguas, PR 00727-1147
Phone (787) 310-2092

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

State licenses

LicenseStateTypeSpecialty
5586PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1043636251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GOLDEN GATE 1 D-G5",
            "address_2": "BAIROA,",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271147",
            "telephone_number": "787-310-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B14 AVE. LOS VETERANOS,",
            "address_2": "URB. VILLA ROSA #3",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-484-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEMMELE",
        "first_name": "VICTOR",
        "middle_name": "E",
        "credential": "MPSYC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.