NPIMap

Organization Active NPI

Centro de Evaluacion, Tratamientos Y Salud Integrada

  • Psychologist
  • Ponce, PR
National Provider Identifier
1336468180
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2578 Issued in PR
Legal business name
CENTRO DE EVALUACION, TRATAMIENTOS Y SALUD INTEGRADA
Practice address
Calle Sabana Ext Valle Alto
# 2241
Ponce, PR 00730-4143
Phone
(787) 944-4411
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Marie D Ortiz Emmanuelli, DOCTORADO
Title
Psicologa
Phone
(787) 944-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 2578 PR Primary

Addresses

Primary practice location

Calle Sabana Ext Valle Alto
# 2241
Ponce, PR 00730-4143

Mailing address

Calle Sabana Ext Valle Alto
# 2241
Ponce, PR 00730-4143
Phone (787) 944-4411

Other identifiers 1

IdentifierTypeStateIssuer
1538149547OtherPRNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1336468180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SABANA EXT VALLE ALTO",
            "address_2": "# 2241",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304143",
            "telephone_number": "787-944-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SABANA EXT VALLE ALTO",
            "address_2": "# 2241",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304143",
            "telephone_number": "787-944-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE EVALUACION, TRATAMIENTOS Y SALUD INTEGRADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "ORTIZ EMMANUELLI",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSICOLOGA",
        "authorized_official_telephone_number": "787-944-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTORADO"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538149547",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.