Active NPI
Daniel David Fraticelli I, PSYCHOLOGIST
- Psychologist
- Coamo, PR
National Provider Identifier
1265663231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3224
- Practice address
- 16 Calle Willie Rosario
Suite 2
Coamo, PR 00769-3217 - Phone
- (787) 461-7518
- NPI assigned
- Aug 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3224 | PR | Primary |
Addresses
Primary practice location
16 Calle Willie Rosario
Suite 2
Coamo, PR 00769-3217
Mailing address
La Alhambra
Granada Street #2115
Ponce, PR 00716
Phone (787) 461-7518
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3224 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1265663231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LA ALHAMBRA",
"address_2": "GRANADA STREET #2115",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-461-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CALLE WILLIE ROSARIO",
"address_2": "SUITE 2",
"city": "COAMO",
"state": "PR",
"postal_code": "007693217",
"telephone_number": "787-461-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRATICELLI",
"first_name": "DANIEL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-07",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "3224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coamo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.