Individual provider Active NPI

Zulma Carrillo, D.O

  • Clinical Psychologist
  • Cidra, PR
National Provider Identifier
1104851781
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2533 Issued in PR
Practice address
Calle Francisco Haddock 1330
Cidra, PR 00739
Phone
(787) 739-8182
Fax
(787) 739-8120
NPI assigned
Jul 11, 2006
Last updated
Dec 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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 2533 PR Primary

Addresses

Primary practice location

Calle Francisco Haddock 1330
Cidra, PR 00739

Mailing address

PO Box 8056
Humacao, PR 00792-8056
Phone (787) 309-3412

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
I20071019000431 PR Practitioner - Clinical Psychologist 4082700125 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Jan 31, 2025 Accepting new patients
Cossma Inc CurrentSince Jan 31, 2025 Accepting new patients
Cossma, Inc. Past Accepting new patients

Locations

181 Calle Munoz Rivera S
San Lorenzo, PR 00754
Phone (787) 852-0882

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1104851781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8056",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928056",
            "telephone_number": "787-309-3412",
            "fax_number": "787-739-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE FRANCISCO HADDOCK 1330",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-8182",
            "fax_number": "787-739-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ZULMA",
        "name_prefix": "Mrs.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.