Zulma E. Maisonave, PSY.D.
Individual provider Active NPI Clinical Psychologist · Aguadilla, PR
NPI 1386852853 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386852853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1719 (PR)
- Practice address
- 151 Ave Pedro Albizu Campos
Aguadilla, PR 00603-5724 - Phone
- (787) 819-0992
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080801000165 | PR | Practitioner - Clinical Psychologist | 8527137371 | Practice locations: Aguadilla, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1719 | PR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Psicologico LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1719 | PR | Yes |
Addresses
Primary practice location
151 Ave Pedro Albizu Campos
Aguadilla, PR 00603-5724
Mailing address
HC.04 Box 44759
Aguadilla, PR 00603
Phone (787) 819-0992
Other providers in Aguadilla, PR
- Giovanni Giulio Luigi
- Luis a Perez Goyco
- M & Y Medical Services, CSP
- Mag Medical Equipment & Supplies
- Alfred Mair Sr.
- Pedro J Maisonet Rivera
- Jorge Luis Malave Perez
- Angel B, Malave-Gomez
- Katherine Malavenda
- Maleza Express Pharmacy
All providers in Aguadilla, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.