Individual provider Active NPI

Juanita Morales Guzman, PH.D.

  • Clinical Psychologist
  • Toa Baja, PR
National Provider Identifier
1396940268
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2015 Issued in PR
Practice address
2828 Ave Dos Palmas
Levittown
Toa Baja, PR 00949-4106
Phone
(787) 923-4240
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2015 PR Primary

Addresses

Primary practice location

2828 Ave Dos Palmas
Levittown
Toa Baja, PR 00949-4106

Mailing address

PO Box 51000
Levittown Sta.
Toa Baja, PR 00950-0000
Phone (787) 923-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000184 PR Practitioner - Clinical Psychologist 2466536750 Practice locations: Toa Baja, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2015PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Servicios Psicologicos Y Opciones Psicoeducativas Clinical PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1396940268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51000",
            "address_2": "LEVITTOWN STA.",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009500000",
            "telephone_number": "787-923-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 AVE DOS PALMAS",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494106",
            "telephone_number": "787-923-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES GUZMAN",
        "first_name": "JUANITA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.