Active NPI
Jose Alfredo Aquino Sr., MA
- Psychologist
- Guaynabo, PR
National Provider Identifier
1073679700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1772
- Practice address
- 140 Ave Las Cumbres Ste 201
Guaynabo, PR 00969-5527 - Phone
- (787) 235-9030
- Fax
- (782) 287-3509
- NPI assigned
- Dec 28, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1772 | PR | Primary |
Addresses
Primary practice location
140 Ave Las Cumbres Ste 201
Guaynabo, PR 00969-5527
Mailing address
PO Box 486
Guaynabo, PR 00970-0486
Phone (787) 235-9030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2039178 | Other | PR | CIGNA |
| 734 | Other | PR | HUMANA HEALTHPLANS |
| 149867 | Other | PR | FHC HEALTHSYSTEMS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1772 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546128000000",
"number": "1073679700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 486",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009700486",
"telephone_number": "787-235-9030",
"fax_number": "787-287-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 AVE LAS CUMBRES STE 201",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695527",
"telephone_number": "787-235-9030",
"fax_number": "782-287-3509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "JOSE",
"middle_name": "ALFREDO",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2018-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2039178",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTHPLANS",
"identifier": "734",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FHC HEALTHSYSTEMS",
"identifier": "149867",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.