Active NPI
Juan Carlos Centeno, M.S.PSY.
- Psychologist
- San Juan, PR
National Provider Identifier
1376848234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3512
- Practice address
- Ave. Roosvelt 601
San Juan, PR 00936-8166 - Phone
- (787) 605-9972
- NPI assigned
- Jan 24, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3512 | PR | Primary |
Addresses
Primary practice location
Ave. Roosvelt 601
San Juan, PR 00936-8166
Mailing address
601 Ave FD Roosevelt
San Juan, PR 00918-1137
Phone (787) 605-9972
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1376848234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 AVE FD ROOSEVELT",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009181137",
"telephone_number": "787-605-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. ROOSVELT 601",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009368166",
"telephone_number": "787-605-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTENO",
"first_name": "JUAN",
"middle_name": "CARLOS",
"credential": "M.S.PSY.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-24",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "3512",
"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 Jan 24, 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.