Individual provider Active NPI

Agustin Estronza, PSY. D.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1346510989
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4110 Issued in PR
Practice address
420 Ave Ponce de Leon Ste 701
San Juan, PR 00918-3407
Phone
(787) 765-5678
NPI assigned
Jan 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 4110 PR Primary

Addresses

Primary practice location

420 Ave Ponce de Leon Ste 701
San Juan, PR 00918-3407

Mailing address

420 Ave Ponce de Leon Ste 701
San Juan, PR 00918-3407
Phone (787) 765-5678

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
I20140129000391 PR Practitioner - Clinical Psychologist 9830328533 Practice locations: Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 Ave Ponce de Leon Edificio Midtow
Hato Rey, PR 00918
Phone (787) 765-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novamente Psychologist Current Accepting new patients

Locations

420 Ave Ponce de Leon
Ste 701
San Juan, PR 00918
Phone (787) 765-5678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1346510989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 AVE PONCE DE LEON STE 701",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183407",
            "telephone_number": "787-765-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 AVE PONCE DE LEON STE 701",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183407",
            "telephone_number": "787-765-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRONZA",
        "first_name": "AGUSTIN",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-12",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.