NPIMap

Organization Active NPI

Alianza Psicosocial de Puerto Rico, Inc.

  • Clinical Psychologist
  • Loiza, PR
National Provider Identifier
1447549209
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0444 Issued in PR
Legal business name
ALIANZA PSICOSOCIAL DE PUERTO RICO, INC.
Practice address
Residencial Yuquiyu Carretera PR 187 KM. 11.1
Loiza, PR 00772-1863
Phone
(787) 685-5074
NPI assigned
Apr 1, 2011
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Mr. Manuel A Cosme
Title
Presidente
Phone
(787) 685-5074

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 0444 PR
Clinical Psychologist 103TC0700X 1567 PR
Clinical Psychologist 103TC0700X 3932 PR
Clinical Psychologist 103TC0700X 3649 PR
Clinical Psychologist 103TC0700X 3880 PR
Clinical Psychologist 103TC0700X 0444 PR Primary
Clinical Social Worker 1041C0700X 9512 PR

Addresses

Primary practice location

Residencial Yuquiyu Carretera PR 187 KM. 11.1
Loiza, PR 00772-1863

Mailing address

PO Box 367587
San Juan, PR 00936-7587

National Provider Directory

National Provider Directory
Tax ID family
Alianza Psicosocial de Puerto Rico Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1447549209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367587",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RESIDENCIAL YUQUIYU CARRETERA PR 187 KM. 11.1",
            "city": "LOIZA",
            "state": "PR",
            "postal_code": "007721863",
            "telephone_number": "787-685-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIANZA PSICOSOCIAL DE PUERTO RICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "COSME",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-685-5074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "0444",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1567",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3932",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3649",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3880",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "0444",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "9512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loiza, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.