Joabdelitza Mahmud

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7374 Issued in PR

Practice address

C27 Calle San Lucas
Urb San Pedro
Toa Baja, PR 00949

Phone

(787) 204-3759

NPI assigned

Feb 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1093255960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C27 CALLE SAN LUCAS",
            "address_2": "URB SAN PEDRO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C27 CALLE SAN LUCAS",
            "address_2": "URB SAN PEDRO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-204-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMUD",
        "first_name": "JOABDELITZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "22520",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "14459",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "7374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica M Loyola, OTL
• Michelle Lozada Martinez, MD
• LPC Yomaris Ramos Rivera LLC
• Luis a. Morales
• Macro Health Care, Inc
• Daisy Malave, M.D.
• Lorena B Maldonado Ares, PSY.D.
• Millicent Maldonado
• Mariana Gonzalez Santiago
• Benigna Marquez, NPN

• Psychologist in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.