Individual provider Active NPI

Margarita Maldonado Galarza, PSY.D.

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1205055357
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1861 Issued in PR
Practice address
450 Calle Ferrocarril Ste 305
Santa Maria Medical Building
Ponce, PR 00717-4105
Phone
(787) 293-7383
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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 1861 PR Primary

Addresses

Primary practice location

450 Calle Ferrocarril Ste 305
Santa Maria Medical Building
Ponce, PR 00717-4105

Mailing address

3082 Ave Emilio Fagot
Santa Clara
Ponce, PR 00716-4117
Phone (939) 640-9404

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1861PRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1205055357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3082 AVE EMILIO FAGOT",
            "address_2": "SANTA CLARA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164117",
            "telephone_number": "939-640-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CALLE FERROCARRIL STE 305",
            "address_2": "SANTA MARIA MEDICAL BUILDING",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007174105",
            "telephone_number": "787-293-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO GALARZA",
        "first_name": "MARGARITA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.