Individual provider Active NPI

Zaida N Fernandez, PSICOLOGA

  • Psychologist
  • Toa Baja, PR
National Provider Identifier
1205133766
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3873 Issued in PR
Practice address
Cond Lago Vista II # 210
200 Boulevard Monroig
Toa Baja, PR 00949-4434
Phone
(787) 579-4850
NPI assigned
Feb 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3873 PR Primary
Counseling Psychologist 103TC1900X 3873 PR

Addresses

Primary practice location

Cond Lago Vista II # 210
200 Boulevard Monroig
Toa Baja, PR 00949-4434

Mailing address

200 Boulevard Monroig
Cond. Lago Vista II - Buzon 210
Toa Baja, PR 00949-4425
Phone (787) 579-4850

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
3873PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1205133766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOULEVARD MONROIG",
            "address_2": "COND. LAGO VISTA II - BUZON 210",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494425",
            "telephone_number": "787-579-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND LAGO VISTA II # 210",
            "address_2": "200 BOULEVARD MONROIG",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494434",
            "telephone_number": "787-579-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ZAIDA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "PSICOLOGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3873",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "3873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.