NPIMap

Organization Active NPI

Hector J Guerra

Doing business as Clinical Support Group Inc

  • Clinical Psychologist
  • Carolina, PR
National Provider Identifier
1083630156
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HECTOR J GUERRA
Doing business as
Clinical Support Group Inc
Practice address
1432 Calle Barracuda
Bahia Vistamar
Carolina, PR 00983-1451
Phone
(787) 768-5501
Fax
(787) 768-8094
NPI assigned
Jul 14, 2006
Last updated
Jan 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Dr. Alice Ruscalleda, PH.D.
Title
Ceo
Phone
(787) 768-5501

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary
Clinical Social Worker 1041C0700X 9140 PR
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

1432 Calle Barracuda
Bahia Vistamar
Carolina, PR 00983-1451

Mailing address

1432 Calle Barracuda
Bahia Vistamar
Carolina, PR 00983-1451
Phone (787) 768-5501

Other names 1

  • Clinical Support Group Inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1083630156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 CALLE BARRACUDA",
            "address_2": "BAHIA VISTAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831451",
            "telephone_number": "787-768-5501",
            "fax_number": "787-768-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 CALLE BARRACUDA",
            "address_2": "BAHIA VISTAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831451",
            "telephone_number": "787-768-5501",
            "fax_number": "787-768-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR J GUERRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "RUSCALLEDA",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-768-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "9140",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Support Group Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.