Active NPI
Jorge I Malave Cintron, PSY. D.
- Clinical Psychologist
- Las Piedras, PR
National Provider Identifier
1124350293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3582
- Practice address
- Street Eucalipto R 21
Villas de San Cristobal 1
Las Piedras, PR 00771-9210 - Phone
- (787) 469-7754
- NPI assigned
- Feb 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3582 | PR | Primary |
Addresses
Primary practice location
Street Eucalipto R 21
Villas de San Cristobal 1
Las Piedras, PR 00771-9210
Mailing address
Street Eucalipto 203
Villas de San Cristobal 1
Las Piedras, PR 00771-9210
Phone (787) 469-7754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3582 | Other | PR | PSYCHOLOGIST LICENCES |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3582 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1124350293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STREET EUCALIPTO 203",
"address_2": "VILLAS DE SAN CRISTOBAL 1",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007719210",
"telephone_number": "787-469-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STREET EUCALIPTO R 21",
"address_2": "VILLAS DE SAN CRISTOBAL 1",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007719210",
"telephone_number": "787-469-7754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CINTRON",
"first_name": "JORGE I",
"middle_name": "MALAVE",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENCES",
"identifier": "3582",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Piedras, PR
- Centro Radiologico Las Piedras
- Centro Terapeutico Bienestar Integral Corp
- Ruben Chamorro, D.M.D.
- Vicente Chapa Juan, MD
- Sandra Lee Christian, LCSW
- Clinica de Salud Integral Inc
- Ricardo Javier Colon-Aponte, APRN
- Mayra Milagros Colon-Candelaria, MD
- Consultorio Medico Dr. Julio Santory Ortiz CSP
- Corporacion de Servicios de Salud Y Medicina Avanzada (Cossma)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.