Active NPI
Lara Eugenia Molina
- Psychologist
- San Juan, PR
National Provider Identifier
1114580479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6090
- Practice address
- A10 Condominio la Sierra del Sol
San Juan, PR 00926 - Phone
- (787) 630-1425
- NPI assigned
- Apr 22, 2019
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6090 | PR | Primary |
Addresses
Primary practice location
A10 Condominio la Sierra del Sol
San Juan, PR 00926
Mailing address
352 Ave San Claudio
PMB 356
San Juan, PR 00926
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 |
|---|---|---|---|
| 6090 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1114580479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 AVE SAN CLAUDIO",
"address_2": "PMB 356",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A10 CONDOMINIO LA SIERRA DEL SOL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-630-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "LARA",
"middle_name": "EUGENIA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "6090",
"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 Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.