Active NPI
Laura Cristina Palacios Hernandez
- Psychologist
- San Juan, PR
National Provider Identifier
1104682335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7840
- Practice address
- Edif San Juan Health Center
150 Ave. de Diego
San Juan, PR 00907 - Phone
- (787) 724-4333
- Fax
- (787) 494-2072
- NPI assigned
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 7840 | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | 7840 | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | 7840 | ||
| Family Psychologist | 103TF0000X | 7840 | ||
| Group Psychotherapy Psychologist | 103TP2701X | 7840 | ||
| Psychologist | 103T00000X | 7840 | Primary |
Addresses
Primary practice location
Edif San Juan Health Center
150 Ave. de Diego
San Juan, PR 00907
Mailing address
Urb Monte Verde
Calle Tulip 10-2
San Juan, PR 00926
Phone (787) 616-3038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1104682335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB MONTE VERDE",
"address_2": "CALLE TULIP 10-2",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-616-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIF SAN JUAN HEALTH CENTER",
"address_2": "150 AVE. DE DIEGO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-724-4333",
"fax_number": "787-494-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIOS HERNANDEZ",
"first_name": "LAURA",
"middle_name": "CRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": "7840",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": "7840",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": "7840",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": "7840",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": "7840",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": "7840",
"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 Feb 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.