Individual provider Active NPI

Luis A. Francis Marcon, PH.D.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1104971076
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000062 Issued in PR
Practice address
Clinica Las Americas
400 F.D. Roosevelt Suite 501
San Juan, PR 00918-2103
Phone
(787) 410-6404
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 000062 PR Primary

Addresses

Primary practice location

Clinica Las Americas
400 F.D. Roosevelt Suite 501
San Juan, PR 00918-2103

Mailing address

PO Box 3473
Carolina, PR 00984-3473
Phone (787) 565-1922

Other identifiers 1

IdentifierTypeStateIssuer
0000062OtherPRLICENCIA

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
I20231004002060 PR Practitioner - Clinical Psychologist 9739534124 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000062PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1104971076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3473",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843473",
            "telephone_number": "787-565-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA LAS AMERICAS",
            "address_2": "400 F.D. ROOSEVELT SUITE 501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-410-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS MARCON",
        "first_name": "LUIS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "000062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "0000062",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.