Individual provider Active NPI

Rosaura Charleman-Moreno, PSY.D.

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1124371679
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1775 Issued in PR
Practice address
38 Calle Venus
Urb. El Verde
Caguas, PR 00725-6340
Phone
(787) 725-6500
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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 1775 PR Primary

Addresses

Primary practice location

38 Calle Venus
Urb. El Verde
Caguas, PR 00725-6340

Mailing address

38 Calle Venus
Urb. El Verde
Caguas, PR 00725-6340
Phone (787) 725-6500

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

LicenseStateTypeSpecialty
1775PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1124371679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CALLE VENUS",
            "address_2": "URB. EL VERDE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256340",
            "telephone_number": "787-725-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CALLE VENUS",
            "address_2": "URB. EL VERDE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256340",
            "telephone_number": "787-725-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLEMAN-MORENO",
        "first_name": "ROSAURA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.