Active NPI
Maricelis Aquino
- School Psychologist
- Vega Alta, PR
National Provider Identifier
1114394368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4235
- Practice address
- Plaza del Mar Shopping Center, Carr.693
2DO Nivel Sector Brenas
Vega Alta, PR 00692 - Phone
- (787) 915-5700
- NPI assigned
- Aug 24, 2015
- Last updated
- Aug 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4235 | PR | Primary |
Addresses
Primary practice location
Plaza del Mar Shopping Center, Carr.693
2DO Nivel Sector Brenas
Vega Alta, PR 00692
Mailing address
Plaza del Mar Shopping Center, Carr.693
2DO Nivel Sector Brenas
Vega Alta, PR 00692
Phone (787) 915-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4235 | PR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1114394368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PLAZA DEL MAR SHOPPING CENTER, CARR.693",
"address_2": "2DO NIVEL SECTOR BRENAS",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-915-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA DEL MAR SHOPPING CENTER, CARR.693",
"address_2": "2DO NIVEL SECTOR BRENAS",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-915-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "MARICELIS",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "4235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.