Active NPI
Alida Angeolina Vincenty, MA
- Counselor
- Mayaguez, PR
National Provider Identifier
1194292870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 000888
- Practice address
- 770 Ave Hostos Ste 302
Mayaguez, PR 00682-1552 - Phone
- (787) 407-1490
- NPI assigned
- Oct 31, 2018
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 000888 | PR | Primary |
Addresses
Primary practice location
770 Ave Hostos Ste 302
Mayaguez, PR 00682-1552
Mailing address
Proffesional Building Plaza
770 Ave Hostos 302a
Mayaguez, PR 00680
Phone (787) 407-1490
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000888 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1194292870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PROFFESIONAL BUILDING PLAZA",
"address_2": "770 AVE HOSTOS 302A",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-407-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 AVE HOSTOS STE 302",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006821552",
"telephone_number": "787-407-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENTY",
"first_name": "ALIDA",
"middle_name": "ANGEOLINA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-31",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PR",
"license": "000888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.