Active NPI
Carmen M Marquez
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1356547525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 617
- Practice address
- Cond. Adaligia Suite 305a
Ave. Ashford 1452
San Juan, PR 00907 - Phone
- (787) 289-8686
- NPI assigned
- Jun 25, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 617 | PR | Primary |
Addresses
Primary practice location
Cond. Adaligia Suite 305a
Ave. Ashford 1452
San Juan, PR 00907
Mailing address
Cond. Adaligia Suite 305a
Ave. Ashford 1452
San Juan, PR 00907
Phone (787) 289-8686
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 |
|---|---|---|---|
| 617 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356547525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. ADALIGIA SUITE 305A",
"address_2": "AVE. ASHFORD 1452",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-289-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND. ADALIGIA SUITE 305A",
"address_2": "AVE. ASHFORD 1452",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-289-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "CARMEN",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.