Active NPI
Clinica Homeostasis LLC
- Clinical Psychologist
- Mayaguez, PR
National Provider Identifier
1104493790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Counseling Psychologist | 103TC1900X | |||
| Family Psychologist | 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 DirectoryNPI 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
- Clinica de Salud Y Prevencion de Mayaguez LLC
- Clinica de Servicios de Patologia del Habla Y Lenguaje (Clisep),C.S.P.
- Clinica Espanola Inc
- Clinica Espanola, Inc.
- Clinica Espanola, Inc.
- Clinica Optometrica Dr. Manuel Morell-Agrinsoni, CSP
- Clinica Psicologica Sinapsis
- Clinica Santisima Virgen del Carmen Inc
- Clinica Venosa del Oeste, Inc
- Clinica Veritas LLC
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.