NPIMap

Organization Active NPI

Professional Consultant of Affective Labor an Educational Training Cor

  • Psychologist
  • Corozal, PR
National Provider Identifier
1376842450
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3683 Issued in PR
Legal business name
PROFESSIONAL CONSULTANT OF AFFECTIVE LABOR AN EDUCATIONAL TRAINING COR
Practice address
Corretera 159 Kilometro 15.0
Bo Borrio Pueblo
Corozal, PR 00783
Phone
(787) 587-3801
Fax
(787) 859-7802
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Migdalia Santos Miranda, PSY-D
Title
President
Phone
(787) 587-3801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 3683 PR Primary

Addresses

Primary practice location

Corretera 159 Kilometro 15.0
Bo Borrio Pueblo
Corozal, PR 00783

Mailing address

Ur. Coo Brisas Calle 7M-16
Corozal, PR 00783
Phone (787) 587-3801

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1376842450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UR. COO BRISAS CALLE 7M-16",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-587-3801",
            "fax_number": "787-859-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORRETERA 159 KILOMETRO 15.0",
            "address_2": "BO BORRIO PUEBLO",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-587-3801",
            "fax_number": "787-859-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CONSULTANT OF AFFECTIVE LABOR AN EDUCATIONAL TRAINING COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "SANTOS MIRANDA",
        "authorized_official_first_name": "MIGDALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-587-3801",
        "authorized_official_credential": "PSY-D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.