Gloria Duran, PSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1882 Issued in PR

Practice address

28 Calle Munoz Rivera W
Rincon, PR 00677-2127

Phone

(787) 823-5500

Fax

(787) 823-2990

NPI assigned

May 10, 2007

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Female

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gloria.duran@costasalud.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Costa Salud Community Health Centers, Inc

  • Clinical Medical Laboratory
  • Moca, PR
  • NPI 1396517082
  NPD
• Costa Salud Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rincon, PR
  • NPI 1912997768

  Single Specialty

  NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1245444793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 URB VISTA DEL MAR",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826271",
            "telephone_number": "787-823-5500",
            "fax_number": "787-823-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CALLE MUNOZ RIVERA W",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006772127",
            "telephone_number": "787-823-5500",
            "fax_number": "787-823-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1882",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "1882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esteven De Jesus, TEM
• Rosaida Delgado
• Dental Anesthesia and Associates
• Department of Health (Clinica Dental Rincon)
• Angelina Dominguez Suarez, M.D.
• Erm Anesthesia Services, LLC
• Farmacia Estefania LLC
• Farmacia Nogueras
• Farmacia Raisa, Inc
• Farmacia Rincon

• Clinical Psychologist in Rincon, PR
• Providers in Rincon, 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 Feb 2, 2022; 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.

Verify at the official NPI Registry.