Fundacion Educativa Concepcion Martin

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FUNDACION EDUCATIVA CONCEPCION MARTIN

Practice address

312 Calle Diego Zalduondo
Fajardo, PR 00738-4758

Phone

(787) 863-3553

NPI assigned

Jul 9, 2025

Last updated

Jul 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ivelisse Marie Davila, ED.DR.

Title

Executive Director

Phone

(787) 863-3553

Specialties & licenses 4

Addresses

Other names 1

• Colegio Sonifel Other name

Locations

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1245120385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70006",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007387006",
            "telephone_number": "787-863-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CALLE DIEGO ZALDUONDO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384758",
            "telephone_number": "787-863-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDACION EDUCATIVA CONCEPCION MARTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "IVELISSE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-863-3553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.DR."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colegio Sonifel",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria L Francis Rosario, PTA
• Awilda A Franco-Matta, MD
• Juan G Fuentes-Arroyo, DMD
• Evarlene Fuentes, MSW
• Moreslee Rosa Fuentes, REGISTER NURSE
• Daneliz Garcia Rosario
• Garcia-Cardona Dermatology Associates PSC
• Antonio Garcia, ATO
• Genesis Garcia
• Iolani Garcia, M.D.

• Clinical Psychologist in Fajardo, PR
• Providers in Fajardo, 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 Jul 9, 2025; 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.