Individual provider Active NPI

Nicole Ros, M.A.

  • Psychologist
  • San Juan, PR
National Provider Identifier
1194184549
Registry record updated Feb 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5626 Issued in PR
Practice address
634 Calle Aldebaran
Urb. Altamira
San Juan, PR 00920-4226
Phone
(787) 222-6551
NPI assigned
Feb 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5626 PR Primary

Addresses

Primary practice location

634 Calle Aldebaran
Urb. Altamira
San Juan, PR 00920-4226

Mailing address

11-24 Calle Segovia
Urb. Torrimar
Guaynabo, PR 00966-3101
Phone (787) 222-6551

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5626PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1455408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455408000000",
    "number": "1194184549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-24 CALLE SEGOVIA",
            "address_2": "URB. TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663101",
            "telephone_number": "787-222-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 CALLE ALDEBARAN",
            "address_2": "URB. ALTAMIRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204226",
            "telephone_number": "787-222-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROS",
        "first_name": "NICOLE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-14",
        "last_updated": "2016-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; 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.