Active NPI
Maria Elizabeth Chavez Ramos, PH.D., LCP
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1407969652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1165
- Practice address
- 1452 Av Ashford
Suite 408
San Juan, PR 00907 - Phone
- (787) 509-6144
- Fax
- (787) 292-0521
- NPI assigned
- Aug 15, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1165 | PR | Primary |
Addresses
Primary practice location
1452 Av Ashford
Suite 408
San Juan, PR 00907
Mailing address
1452 Av Ashford
Suite 408
San Juan, PR 00907
Phone (787) 509-6144
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 557960 | Other | PR | FHC HEALTH SYSTEMS PROVID |
| 101043 | Other | PR | LA CRUZ AZUL DE PR PROVI |
| 57597 CH | Other | PR | TRIPLE - S, INC. PROVIDER |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1165 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1407969652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1452 AV ASHFORD",
"address_2": "SUITE 408",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-509-6144",
"fax_number": "787-292-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 AV ASHFORD",
"address_2": "SUITE 408",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-509-6144",
"fax_number": "787-292-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ RAMOS",
"first_name": "MARIA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D., LCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FHC HEALTH SYSTEMS PROVID",
"identifier": "557960",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL DE PR PROVI",
"identifier": "101043",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE - S, INC. PROVIDER",
"identifier": "57597 CH",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.