Individual provider Active NPI

Damaris Orraca, PSYCOLOGIST

  • Psychologist
  • Guaynabo, PR
National Provider Identifier
1194945931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
217 Issued in PR
Practice address
20 Calle Pineiro
Urb.Pineiro
Guaynabo, PR 00969
Phone
(787) 790-9131
Fax
(787) 268-7589
NPI assigned
Apr 26, 2007
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
Psychologist 103T00000X 217 PR Primary

Addresses

Primary practice location

20 Calle Pineiro
Urb.Pineiro
Guaynabo, PR 00969

Mailing address

2027 Calle Italia
Apt. a
San Juan, PR 00911-1407
Phone (787) 790-9131

Other identifiers 2

IdentifierTypeStateIssuer
96685OtherPRMCS
1433OtherPRAPS

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

LicenseStateTypeSpecialty
217PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194945931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 CALLE ITALIA",
            "address_2": "APT. A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111407",
            "telephone_number": "787-790-9131",
            "fax_number": "787-268-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CALLE PINEIRO",
            "address_2": "URB.PINEIRO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-790-9131",
            "fax_number": "787-268-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORRACA",
        "first_name": "DAMARIS",
        "credential": "PSYCOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "96685",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "1433",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.