Maheliz Pellot-Fuentes

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4163 Issued in PR

Practice address

151 Ave Pedro Albizu Campos
Aguadilla, PR 00603-5724

Phone

(787) 932-7817

NPI assigned

Mar 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pequenos Pasos LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aguadilla, PR
  • NPI 1639031073
  NPD

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1346876042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 8 BOX 24711",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039652",
            "telephone_number": "787-932-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 AVE PEDRO ALBIZU CAMPOS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035724",
            "telephone_number": "787-932-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLOT-FUENTES",
        "first_name": "MAHELIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "4163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albertino Padin -Gomez, MD
• Wilmayri Pagan Lopez
• Carmen Pagan
• Liza Mariel Paulo Malave, MD
• Carlos Ronald Pedraza Gonzalez, MD
• Daisy Pellot-Rodriguez, PSY D.
• Carelys Pena, M.A.
• Pequenos Pasos LLC
• Eduardo Jose Perez Caban, M.D.
• Joel Eduardo Perez Caban

• Psychologist in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; 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.