Nilmarie Matos Fradera, PSICOLOGA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5223 Issued in PR

Practice address

Villa Blanca
Calle Acerina 2
Caguas, PR 00725

Phone

(787) 900-3983

NPI assigned

Jun 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Happy Brains Psychology PR

  • Clinical Child & Adolescent Psychologist
  • Caguas, PR
  • NPI 1699428086

  Counseling

  NPD Authorized official

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1275946139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA BLANCA",
            "address_2": "CALLE ACERINA 2",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-900-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA BLANCA",
            "address_2": "CALLE ACERINA 2",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-900-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS FRADERA",
        "first_name": "NILMARIE",
        "name_prefix": "Dr.",
        "credential": "PSICOLOGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "PR",
            "license": "5223",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5223",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "PR",
            "license": "5223",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira Martinez
• Milagros Masa, PHARMACY TECHNICIAN
• Rafael Mateo-Garcia III, PH.D.
• Camille Mateo, MD
• Dianne L Matos Barreto, PHD
• Liza Lumarie Matos-Lago, M.D.
• Alice Matos
• Luz Risex Mangual Matos, SLT
• Willie R Matos, M.D.
• Jorge R Matta Gonzalez, MD

• Psychologist in Caguas, PR
• Providers in Caguas, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.