Individual provider Active NPI

Ada Nydia Tua, MA

  • Psychologist
  • Mayaguez, PR
National Provider Identifier
1356560189
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1585 Issued in PR
Practice address
104 Calle Relampago
Edif. Centro del Oeste
Mayaguez, PR 00680-0000
Phone
(787) 458-2794
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1585 PR Primary

Addresses

Primary practice location

104 Calle Relampago
Edif. Centro del Oeste
Mayaguez, PR 00680-0000

Mailing address

8 Calle Duarte
Mayaguez, PR 00682-1133
Phone (787) 832-1148

Other identifiers 2

IdentifierTypeStateIssuer
1574OtherPRAPS HUMANA
1050397OtherPRCIGNA

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1585PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1356560189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CALLE DUARTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821133",
            "telephone_number": "787-832-1148",
            "fax_number": "787-265-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CALLE RELAMPAGO",
            "address_2": "EDIF. CENTRO DEL OESTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006800000",
            "telephone_number": "787-458-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUA",
        "first_name": "ADA",
        "middle_name": "NYDIA",
        "name_prefix": "Miss",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS HUMANA",
            "identifier": "1574",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1050397",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.