Individual provider Active NPI

Ramon Antonio Reyes-Cotto, PHD

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1104334440
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5979 Issued in PR
Practice address
Calle Chumley Q11 Urb. Turabo Gardens
Caguas, PR 00725
Phone
(787) 364-9880
NPI assigned
Jan 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5979 PR Primary

Addresses

Primary practice location

Calle Chumley Q11 Urb. Turabo Gardens
Caguas, PR 00725

Mailing address

PO Box 5442
Caguas, PR 00726-5442
Phone (787) 364-9880

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720000298 PR Practitioner - Clinical Psychologist 4284037946 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5979PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto de Desarrollo Integral Y Evaluacion Clinical CurrentSince May 30, 2022 Accepting new patients
Instituto de Desarrollo Integral Y Evaluacion PastSince May 30, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1104334440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5442",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007265442",
            "telephone_number": "787-364-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CHUMLEY Q11 URB. TURABO GARDENS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-364-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-COTTO",
        "first_name": "RAMON",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-22",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.