Active NPI
Luisa Done
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1083816672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001270
- Practice address
- Calle 47 Q 50 Villas de Carraizo
San Juan, PR 00926 - Phone
- (787) 760-3884
- Fax
- (787) 760-3884
- NPI assigned
- Jun 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001270 | PR | Primary |
Addresses
Primary practice location
Calle 47 Q 50 Villas de Carraizo
San Juan, PR 00926
Mailing address
Calle 47 Q 50
RR7 Box 107 Villas de Carraizo
San Juan, PR 00926
Phone (787) 760-3884
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151007001132 | PR | Practitioner - Clinical Psychologist | 3375851686 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1007 Ave Munoz Rivera
Suite 402
San Juan, PR 00925-2718
Phone (939) 639-7816
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001270 | PR | MD | Clinical Psychologist |
| 1270 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083816672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 47 Q 50",
"address_2": "RR7 BOX 107 VILLAS DE CARRAIZO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-760-3884",
"fax_number": "787-760-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 47 Q 50 VILLAS DE CARRAIZO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-760-3884",
"fax_number": "787-760-3884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONE",
"first_name": "LUISA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "001270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.