Carmen Yamaril Torres Cintron, PSICOLOGA

Individual provider Active NPI Clinical Psychologist · Utuado, PR

NPI 1053661330 · NPPES record last updated Jan 30, 2024

Key facts

NPI
1053661330
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
4215 (PR)
Practice address
HC 4 Box 10014
Bo. Salto Arriba Sector El Guano
Utuado, PR 00641
Phone
(787) 397-7387
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230824001417 PR Practitioner - Clinical Psychologist 4486015575 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4215PRMDIntellectual & Developmental Disabilities Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Servicios Integradosn Etapas LLC Clinical Current
since Apr 4, 2023
Accepting new patients
Clinica de Servicios Integradosn Etapas LLC Past Accepting new patients
Clinica de Servicios Integradosn Etapas LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 4215 PR
Intellectual & Developmental Disabilities Psychologist 103TM1800X 4215 PR
Psychoanalysis Psychologist 103TP0814X 4215 PR
Group Psychotherapy Psychologist 103TP2701X 4215 PR
School Psychologist 103TS0200X 4215 PR
Clinical Psychologist 103TC0700X 4215 PR Yes

Addresses

Primary practice location

HC 4 Box 10014
Bo. Salto Arriba Sector El Guano
Utuado, PR 00641

Mailing address

HC 4 Box 10014
Bo. Salto Arriba Sector El Guano
Utuado, PR 00641
Phone (787) 397-7387

Other identifiers

IdentifierTypeStateIssuer
39MedicaidPR
37OtherPRSERVICES PSICOLOGY
17OtherPRSERVICES PSICOLOGY

Other names

  • Mrs. Carmen Yamaril Torres Cintron Professional name

Other providers in Utuado, PR

All providers in Utuado, PR · Clinical Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.