Active NPI
Maribel Mangual, PSY.D.
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1134660335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5823
- Practice address
- 1224 Ave Munoz Rivera
Reparto Universitario
Ponce, PR 00717-0639 - Phone
- (787) 231-3323
- NPI assigned
- Mar 20, 2017
- Last updated
- Mar 20, 2017
- Sex
- Female
- 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 | 5823 | PR | Primary |
Addresses
Primary practice location
1224 Ave Munoz Rivera
Reparto Universitario
Ponce, PR 00717-0639
Mailing address
1224 Ave Munoz Rivera
Reparto Universitario
Ponce, PR 00717-0639
Phone (787) 231-3323
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 |
|---|---|---|---|
| 5823 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1134660335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 AVE MUNOZ RIVERA",
"address_2": "REPARTO UNIVERSITARIO",
"city": "PONCE",
"state": "PR",
"postal_code": "007170639",
"telephone_number": "787-231-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 AVE MUNOZ RIVERA",
"address_2": "REPARTO UNIVERSITARIO",
"city": "PONCE",
"state": "PR",
"postal_code": "007170639",
"telephone_number": "787-231-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGUAL",
"first_name": "MARIBEL",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.