Active NPI
Abdiel Muniz Vera, DR
- Clinical Psychologist
- Moca, PR
National Provider Identifier
1376115295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7030
- Practice address
- Carr 125 KM 5.5
Bo Voladoras
Moca, PR 00676 - Phone
- (787) 546-7508
- NPI assigned
- Jul 12, 2021
- Sex
- Male
- 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 | 7030 | PR | Primary |
Addresses
Primary practice location
Carr 125 KM 5.5
Bo Voladoras
Moca, PR 00676
Mailing address
PO Box 1106
Moca, PR 00676-1106
Phone (787) 546-7508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7875467508 | Other | CELULAR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7030 | PR | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psidep LLC | Single Specialty | Current | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moca, PR
- NPI 1790414530
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1376115295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1106",
"city": "MOCA",
"state": "PR",
"postal_code": "006761106",
"telephone_number": "787-546-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 125 KM 5.5",
"address_2": "BO VOLADORAS",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-546-7508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNIZ VERA",
"first_name": "ABDIEL",
"name_prefix": "Dr.",
"credential": "DR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "7030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CELULAR",
"identifier": "7875467508",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.