Individual provider Active NPI

Angela Maria Oliveras Lorenzo

  • Psychologist
  • Bayamon, PR
National Provider Identifier
1235679218
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5511 Issued in PR
Practice address
2340 Carr 2 Apt 100
Condominio Primavera
Bayamon, PR 00961-4843
Phone
(939) 202-3497
NPI assigned
Feb 24, 2017
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5511 PR Primary

Addresses

Primary practice location

2340 Carr 2 Apt 100
Condominio Primavera
Bayamon, PR 00961-4843

Mailing address

2340 Carr 2 Apt 100
Condominio Primavera
Bayamon, PR 00961-4843
Phone (939) 202-3497

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
5511PRMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1235679218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 CARR 2 APT 100",
            "address_2": "CONDOMINIO PRIMAVERA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614843",
            "telephone_number": "939-202-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 CARR 2 APT 100",
            "address_2": "CONDOMINIO PRIMAVERA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614843",
            "telephone_number": "939-202-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERAS LORENZO",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.