Individual provider Active NPI

Juan Gabriel Figueroa Carrer, PSY D

  • Clinical Psychologist
  • Ciales, PR
National Provider Identifier
1285873661
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3222 Issued in PR
Practice address
HC 1 Box 5290
Ciales, PR 00638-9658
Phone
(787) 479-2285
NPI assigned
Feb 9, 2009
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3222 PR Primary

Addresses

Primary practice location

HC 1 Box 5290
Ciales, PR 00638-9658

Mailing address

HC 1 Box 5290
Ciales, PR 00638-9658
Phone (787) 479-2285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091228000592 PR Practitioner - Clinical Psychologist 1557401445 Practice locations: Canovanas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3222PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Glorimar Santos Llanos PSC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1285873661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5290",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006389658",
            "telephone_number": "787-479-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5290",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006389658",
            "telephone_number": "787-479-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA CARRER",
        "first_name": "JUAN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ciales, PR

Sources for this page

Verify at the official NPI Registry.