Individual provider Active NPI

Allary Villarrubia Soto, PH.D

  • Clinical Psychologist
  • Anasco, PR
National Provider Identifier
1144501198
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3972 Issued in PR
Practice address
Carr # 402 KM 2.1
Bo Marias
Anasco, PR 00610-9809
Phone
(787) 648-4486
NPI assigned
Sep 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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 3972 PR Primary

Addresses

Primary practice location

Carr # 402 KM 2.1
Bo Marias
Anasco, PR 00610-9809

Mailing address

RR 2 Box 4373
Anasco, PR 00610-9809
Phone (787) 648-4486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000352 PR Practitioner - Clinical Psychologist 4587822473 Practice locations: Anasco, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3972PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1144501198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 4373",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006109809",
            "telephone_number": "787-648-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR # 402 KM 2.1",
            "address_2": "BO MARIAS",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006109809",
            "telephone_number": "787-648-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARRUBIA SOTO",
        "first_name": "ALLARY",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-05",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

Verify at the official NPI Registry.