Organization Active NPI

Clinica Homeostasis LLC

  • Clinical Psychologist
  • Mayaguez, PR
National Provider Identifier
1104493790
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLINICA HOMEOSTASIS LLC
Practice address
18 Calle Jose Antonio Figueroa
Mayaguez, PR 00680-6802
Phone
(501) 247-6326
NPI assigned
Jun 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Dr. Marta Ivette Durand
Title
President
Phone
(501) 247-6326

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X

Addresses

Primary practice location

18 Calle Jose Antonio Figueroa
Mayaguez, PR 00680-6802

Mailing address

415 Calle la Loma
Mayaguez, PR 00680-1484
Phone (501) 247-6326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1104493790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CALLE LA LOMA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801484",
            "telephone_number": "501-247-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE JOSE ANTONIO FIGUEROA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806802",
            "telephone_number": "501-247-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA HOMEOSTASIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "DURAND",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-247-6326",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.