Nestor Xavier Portalatin Luiggi, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7596 Issued in PR

Practice address

Urb San Antonio
2049 Calle Drama
Ponce, PR 00728

Phone

(787) 600-4789

NPI assigned

Jan 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1245945468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SAN ANTONIO",
            "address_2": "2049 CALLE DRAMA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-600-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SAN ANTONIO",
            "address_2": "2049 CALLE DRAMA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-600-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTALATIN LUIGGI",
        "first_name": "NESTOR",
        "middle_name": "XAVIER",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ponce School of Medicine Practice Group
• Iris Heidsha Pons Cruz, BCBA
• Norielys Pons Ruiz, BCBA
• Jose I Pons, PH.D.
• Lyan Marie Porrata, PHARMD
• Monica L Portalatin Perez, MD
• Natalia Portalatin, PH. D.
• Gabriela Margarita Portilla Skerrett
• Ariel Portilla, MD
• Jose M Pou-Pacheco, M.D.

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, 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 Jan 23, 2023; 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.