Individual provider Active NPI

Rina Alonso

  • Clinical Psychologist
  • Guaynabo, PR
National Provider Identifier
1174544969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2098 Issued in PR
Practice address
Calle Carazo #75 Apart 913
Guaynabo, PR 00970
Phone
(787) 272-8681
Fax
(787) 790-0550
NPI assigned
Jul 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2098 PR Primary

Addresses

Primary practice location

Calle Carazo #75 Apart 913
Guaynabo, PR 00970

Mailing address

Condominio Costa Azul Apartamento 3B Calle Taft #2
San Juan, PR 00911-1235
Phone (787) 272-8681

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
I20031210000476 PR Practitioner - Clinical Psychologist 6800792870 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

75 Calle Carazo
Guaynabo, PR 00969-5700
Phone (787) 272-8682

Calle Taft
2 Cond Costa Azul Apt 3B
San Juan, PR 00911-1217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2098PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Support Services, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174544969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO COSTA AZUL APARTAMENTO 3B CALLE TAFT #2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111235",
            "telephone_number": "787-272-8681",
            "fax_number": "787-790-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CARAZO #75 APART 913",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-272-8681",
            "fax_number": "787-790-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "RINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.