Individual provider Active NPI

Jose Luis Ortega Cuesta, PHD

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1336207133
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1041 Issued in PR
Practice address
A8 Ave Degetau
Bonneville Terrace
Caguas, PR 00725-5836
Phone
(787) 258-5697
Fax
(787) 747-2436
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1041 PR
Clinical Psychologist 103TC0700X 1041 PR Primary

Addresses

Primary practice location

A8 Ave Degetau
Bonneville Terrace
Caguas, PR 00725-5836

Mailing address

A8 Ave Degetau
Bomeville Terrace
Caguas, PR 00725-5836
Phone (787) 258-5697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1041PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1336207133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A8 AVE DEGETAU",
            "address_2": "BOMEVILLE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255836",
            "telephone_number": "787-258-5697",
            "fax_number": "787-747-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A8 AVE DEGETAU",
            "address_2": "BONNEVILLE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255836",
            "telephone_number": "787-258-5697",
            "fax_number": "787-747-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA CUESTA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "1041",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.