Active NPI
Jayleen Gorritz
- Psychologist
- Dorado, PR
National Provider Identifier
1386131175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5935
- Practice address
- Carr 695 KM 2.0 Bo Higuillar
Plaza Doraville Carr
Dorado, PR 00646 - Phone
- (787) 242-0929
- NPI assigned
- Apr 17, 2018
- Last updated
- Apr 17, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5935 | PR | Primary |
Addresses
Primary practice location
Carr 695 KM 2.0 Bo Higuillar
Plaza Doraville Carr
Dorado, PR 00646
Mailing address
S21 Urb the Clusters Ocean Blue Lane
Dorado, PR 00646
Phone (787) 242-0929
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5935 | PR | MD | Naprapath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1386131175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S21 URB THE CLUSTERS OCEAN BLUE LANE",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-242-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 695 KM 2.0 BO HIGUILLAR",
"address_2": "PLAZA DORAVILLE CARR",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-242-0929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORRITZ",
"first_name": "JAYLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.