Individual provider Active NPI

Carmen Yamaril Torres Cintron, PSICOLOGA

  • Clinical Psychologist
  • Utuado, PR
National Provider Identifier
1053661330
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4215 Issued in 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
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 6

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 Primary

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 names 1

  • Mrs. Carmen Yamaril Torres Cintron Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4215PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Servicios Integradosn Etapas LLC Clinical CurrentSince 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1053661330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 10014",
            "address_2": "BO. SALTO ARRIBA SECTOR EL GUANO",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "00641",
            "telephone_number": "787-397-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 10014",
            "address_2": "BO. SALTO ARRIBA SECTOR EL GUANO",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "00641",
            "telephone_number": "787-397-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES CINTRON",
        "first_name": "CARMEN",
        "middle_name": "YAMARIL",
        "name_prefix": "Mrs.",
        "credential": "PSICOLOGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "4215",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "PR",
            "license": "4215",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "PR",
            "license": "4215",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PR",
            "license": "4215",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "4215",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "TORRES CINTRON",
            "middle_name": "YAMARIL",
            "prefix": "MRS.",
            "credential": "PSICOLOGA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Utuado, PR

Sources for this page

Verify at the official NPI Registry.