Individual provider Active NPI

Marimer Munoz Berastain, PSYD

  • Psychologist
  • Coto Laurel, PR
National Provider Identifier
1407665276
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8210 Issued in PR
Practice address
2004 Carr 506 Ste 201
Coto Laurel, PR 00780-2936
Phone
(787) 840-7391
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8210 PR Primary

Addresses

Primary practice location

2004 Carr 506 Ste 201
Coto Laurel, PR 00780-2936

Mailing address

Ext. Valle Alto
2334 Calle Lomas
Ponce, PR 00730-4145
Phone (787) 601-3541

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

LicenseStateTypeSpecialty
8210PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Learning Fun Educational Services LLC Psychologist CurrentSince Jan 12, 2025 Accepting new patients

Locations

2004 Carr 506
Ste 201
Coto Laurel, PR 00780
Phone (787) 601-3541

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": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1407665276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXT. VALLE ALTO",
            "address_2": "2334 CALLE LOMAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304145",
            "telephone_number": "787-601-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 CARR 506 STE 201",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802936",
            "telephone_number": "787-840-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ BERASTAIN",
        "first_name": "MARIMER",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "8210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.