Individual provider Active NPI

Brenda Ivette Morales Torres, PSYD

  • Clinical Psychologist
  • Dorado, PR
National Provider Identifier
1245061902
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7581 Issued in PR
Practice address
659 Carr. KM 1 H5
Bo Santa Rosa
Dorado, PR 00693
Phone
(939) 365-5429
Fax
(787) 561-7464
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 7581 PR Primary

Addresses

Primary practice location

659 Carr. KM 1 H5
Bo Santa Rosa
Dorado, PR 00693

Mailing address

PO Box 571
Vega Baja, PR 00694-0571
Phone (939) 365-5429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1245061902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006940571",
            "telephone_number": "939-365-5429",
            "fax_number": "787-561-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 CARR. KM 1 H5",
            "address_2": "BO SANTA ROSA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "939-365-5429",
            "fax_number": "787-561-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES TORRES",
        "first_name": "BRENDA",
        "middle_name": "IVETTE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.