Active NPI
Damaris Prieto, M.D.
- Child & Adolescent Psychiatry Physician
- Carolina, PR
National Provider Identifier
1205933942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 14649
- Practice address
- Hospital Upr Carolina
Ave. 65 de Infanteria
Carolina, PR 00983 - Phone
- (787) 766-0940
- Fax
- (787) 620-5727
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M4452 | TX | |
| Psychiatry Physician | 2084P0800X | 14649 | PR | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 14649 | PR | Primary |
Addresses
Primary practice location
Hospital Upr Carolina
Ave. 65 de Infanteria
Carolina, PR 00983
Mailing address
Psiquiatria RCM
PO Box 29134
San Juan, PR 00929-0134
Phone (787) 766-0940
Other names 1
- Damaris Prieto Carballo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14649 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Psychiatry | Current | Accepting new patients |
| Aps Clinics of Puerto Rico, Inc. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- San Juan, PR
- NPI 1083720205
-
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
-
- Adult Mental Health Clinic/Center
- San Juan, PR
- NPI 1336194448
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1205933942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PSIQUIATRIA RCM",
"address_2": "PO BOX 29134",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009290134",
"telephone_number": "787-766-0940",
"fax_number": "787-620-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL UPR CAROLINA",
"address_2": "AVE. 65 DE INFANTERIA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-766-0940",
"fax_number": "787-620-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIETO",
"first_name": "DAMARIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M4452",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "14649",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PR",
"license": "14649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAMARIS",
"last_name": "PRIETO CARBALLO",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.