Active NPI
Felipe Sebastian De Puigdorfila
- Mental Health Counselor
- Aguas Buenas, PR
National Provider Identifier
1053913772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4469
- Practice address
- 58 Calle Yaguez
Aguas Buenas, PR 00703-9632 - Phone
- (787) 233-6272
- NPI assigned
- Nov 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4469 | PR | Primary |
Addresses
Primary practice location
58 Calle Yaguez
Aguas Buenas, PR 00703-9632
Mailing address
58 Calle Yaguez
Aguas Buenas, PR 00703-9632
Phone (787) 233-6272
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4469 | PR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1053913772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 CALLE YAGUEZ",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "007039632",
"telephone_number": "787-233-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 CALLE YAGUEZ",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "007039632",
"telephone_number": "787-233-6272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE PUIGDORFILA",
"first_name": "FELIPE",
"middle_name": "SEBASTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-09",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PR",
"license": "4469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguas Buenas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.