Active NPI
Isa Pantoja Feliciano, LIC
- Psychologist
- Carolina, PR
National Provider Identifier
1326761586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5523
- Practice address
- 132 Ave Roberto Clemente
Carolina, PR 00985 - Phone
- (939) 253-2887
- NPI assigned
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5523 | PR | Primary |
Addresses
Primary practice location
132 Ave Roberto Clemente
Carolina, PR 00985
Mailing address
Chalets de la Fuente 2
Calle Reyes 72
Carolina, PR 00987
Phone (939) 253-2887
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5523 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1326761586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CHALETS DE LA FUENTE 2",
"address_2": "CALLE REYES 72",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "939-253-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 AVE ROBERTO CLEMENTE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "939-253-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTOJA FELICIANO",
"first_name": "ISA",
"credential": "LIC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-22",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.