Individual provider Active NPI

Maria Del C Jurado, MA

  • Psychologist
  • Trujillo Alto, PR
National Provider Identifier
1053696906
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3890 Issued in PR
Practice address
Ciudad Universitaria
D17A Avenida Aa
Trujillo Alto, PR 00976
Phone
(787) 675-1901
Fax
(787) 293-3851
NPI assigned
Oct 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3890 PR Primary

Addresses

Primary practice location

Ciudad Universitaria
D17A Avenida Aa
Trujillo Alto, PR 00976

Mailing address

PO Box 22102
Upr Station
San Juan, PR 00931-2102
Phone (787) 675-1901

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3890PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1053696906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22102",
            "address_2": "UPR STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009312102",
            "telephone_number": "787-675-1901",
            "fax_number": "787-293-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CIUDAD UNIVERSITARIA",
            "address_2": "D17A AVENIDA AA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-675-1901",
            "fax_number": "787-293-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURADO",
        "first_name": "MARIA",
        "middle_name": "DEL C",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.