Waldemar Manuel Purcell, PHD, CT

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

283 Issued in PR

Practice address

500 Ave Munoz Rivera
El Centro 1 Suite 607
San Juan, PR 00918

Phone

(787) 764-8586

NPI assigned

Mar 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1407314354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DD10 CALLE GARDENIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266312",
            "telephone_number": "787-319-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVE MUNOZ RIVERA",
            "address_2": "EL CENTRO 1 SUITE 607",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-764-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "WALDEMAR",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "PHD, CT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marieva Puig, PH.D.
• Osvaldo N Puig, DDS
• Paloma Purcell Baerga, PH.D.
• Camila Isabel Purcell Diaz
• Rene Purcell-Jordan, M.D.
• Pure Life Renal of San Juan, LLC
• Puva-Tek
• PVC Medical Gi LLC
• Q Health LLC
• Q Health LLC

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.