Active NPI
Jorge E Nogales Marin, M.A.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1285815134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 000704
- Practice address
- 403 Calle del Parque
5TH. Floor
San Juan, PR 00912-3709 - Phone
- (787) 721-4960
- Fax
- (787) 721-4961
- NPI assigned
- Nov 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 000704 | PR | Primary |
Addresses
Primary practice location
403 Calle del Parque
5TH. Floor
San Juan, PR 00912-3709
Mailing address
403 Calle del Parque
5TH. Floor
San Juan, PR 00912-3709
Phone (787) 721-4960
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000704 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1285815134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 CALLE DEL PARQUE",
"address_2": "5TH. FLOOR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009123709",
"telephone_number": "787-721-4960",
"fax_number": "787-721-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 CALLE DEL PARQUE",
"address_2": "5TH. FLOOR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009123709",
"telephone_number": "787-721-4960",
"fax_number": "787-721-4961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOGALES MARIN",
"first_name": "JORGE",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "000704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.