Daniel Ramon Fuentes, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7104 Issued in PR

Practice address

Ave San Ignacio 22
Apto 707
Guaynabo, PR 00969-0096

Phone

(787) 459-6125

NPI assigned

Sep 23, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1215608849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. SAN IGNACIO 22",
            "address_2": "APT. 707",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-459-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SAN IGNACIO 22",
            "address_2": "APTO 707",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009690096",
            "telephone_number": "787-459-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "DANIEL",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "7104",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Friscia, MPH
• Ernesto A. Frontera, M.D.
• Francisco Maria Fuentes Millan, PA
• Wilmarie Fuentes Payan
• Melvin Fuentes Sanchez, 1150B
• Jessica Xiomara Fuentes
• Patricia Fuentes
• Juan J Fumero-Perez, MD
• Cheila Fumero
• Functional Endocrinology Institute P.S.C

• Clinical Psychologist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.