NPIMap

Organization Active NPI

Red Metropolitana de Psicologia, CSP

  • Clinical Psychologist
  • Santurce, PR
National Provider Identifier
1275676108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2762 Issued in PR
Legal business name
RED METROPOLITANA DE PSICOLOGIA, CSP
Practice address
607 Ave Condado
Condominio Condado Suite 401
Santurce, PR 00907-3845
Phone
(787) 725-5013
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Domingo J. Marques, PSY. D.NPI 1033272265
Title
Vice President
Phone
(787) 725-5013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2762 PR Primary

Addresses

Primary practice location

607 Ave Condado
Condominio Condado Suite 401
Santurce, PR 00907-3845

Mailing address

607 Ave Condado
Condominio Condado Suite 401
Santurce, PR 00907-3845
Phone (787) 725-5013

National Provider Directory

National Provider Directory

Locations

607 Ave Condado
Ste 401
Santurce, PR 00907
Phone (787) 234-2535

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275676108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 AVE CONDADO",
            "address_2": "CONDOMINIO CONDADO SUITE 401",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009073845",
            "telephone_number": "787-725-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 AVE CONDADO",
            "address_2": "CONDOMINIO CONDADO SUITE 401",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009073845",
            "telephone_number": "787-725-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED METROPOLITANA DE PSICOLOGIA, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARQUES",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-725-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.