Active NPI
Carlos A Lado-Cornejo, PHD
- Prescribing (Medical) Psychologist
- Mayaguez, PR
National Provider Identifier
1376530279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- PSY1507
- Practice address
- 54 Calle Tenerife
Mayaguez, PR 00680-1462 - Phone
- (787) 403-4259
- Fax
- (787) 841-4170
- NPI assigned
- Oct 5, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 02334 | PR | |
| Clinical Psychologist | 103TC0700X | 2334 | PR | |
| Prescribing (Medical) Psychologist | 103TP0016X | PSY1507 | NM | Primary |
Addresses
Primary practice location
54 Calle Tenerife
Mayaguez, PR 00680-1462
Mailing address
PO Box 2921
Mayaguez, PR 00681-2921
Phone (787) 403-4259
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100453 | Other | PR | CRUZ AZUL |
| 56737LA | Other | PR | TRIPLE S |
| 219027 | Other | PR | PREFERED HEALTH PLAN |
| 2585 | Other | PR | MMM |
| 4153-5 | Other | PR | PROSSAM |
| 66-0642685 | Other | PR | WELLPOINT BEHAVIORAL CARE |
| 66-0642685 | Other | PR | PREFERED MEDICAL CHOICE |
| 66-0642685 | Other | PR | FIRST MEDICAL |
| 2584 | Other | PR | REFORMA DE SALUD |
| 66-0642685 | Other | PR | MCS |
| 518224 | Other | PR | FHC-MCS EAP |
| 66-0642685 | Other | PR | COSVI |
| 7000007247 | Other | PR | REMITENTE DE MEDICARE |
| 2572 | Other | PR | HUMANA GOLD PLAN |
| 2572 | Other | PR | HUMANA PPO/HMO |
| 660642685 | Other | PR | MSC CLASSICARE |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02334 | PR | MD | Clinical Neuropsychologist |
| PSY1507 | NM | MD | Prescribing (Medical) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685836800000",
"number": "1376530279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2921",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006812921",
"telephone_number": "787-403-4259",
"fax_number": "787-841-4170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 CALLE TENERIFE",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006801462",
"telephone_number": "787-403-4259",
"fax_number": "787-841-4170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADO-CORNEJO",
"first_name": "CARLOS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2023-06-04",
"certification_date": "2023-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "PR",
"license": "02334",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2334",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NM",
"license": "PSY1507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "100453",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "56737LA",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERED HEALTH PLAN",
"identifier": "219027",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "2585",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROSSAM",
"identifier": "4153-5",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLPOINT BEHAVIORAL CARE",
"identifier": "66-0642685",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERED MEDICAL CHOICE",
"identifier": "66-0642685",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "66-0642685",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REFORMA DE SALUD",
"identifier": "2584",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS",
"identifier": "66-0642685",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FHC-MCS EAP",
"identifier": "518224",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COSVI",
"identifier": "66-0642685",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REMITENTE DE MEDICARE",
"identifier": "7000007247",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD PLAN",
"identifier": "2572",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PPO/HMO",
"identifier": "2572",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSC CLASSICARE",
"identifier": "660642685",
"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 Jun 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.