Lexter Rosario Sanjurjo I, PHD
Individual provider Active NPI Psychologist · Loiza, PR
NPI 1275752149 · NPPES record last updated Mar 24, 2022
Key facts
- NPI
- 1275752149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2363 (PR)
- Practice address
- Carr. 188-JNT 187 Loiza
Loiza, PR 00772 - Phone
- (787) 876-2042
- Fax
- (787) 876-2003
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2363 | PR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concilio de Salud Integral de Loiza, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Psychologist | 103T00000X | 2363 | PR | Yes |
Addresses
Primary practice location
Carr. 188-JNT 187 Loiza
Loiza, PR 00772
Mailing address
721 Calle Hernandez
Cond. Miramar Towers Apt 12-C
San Jaun, PR 00907
Phone (787) 310-2604
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2363 | Other | PR | PSYCHOLOGIST PROFESSIONAL |
| 2363 | Other | PR | PSYCHOLOGY |
Other names
- Mr. Lexter Rosario I
Other providers in Loiza, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.