Individual provider Active NPI

Reinaldo Oquendo, PH,D A.B.D , PCTFP

  • Psychologist
  • Guaynabo, PR
National Provider Identifier
1447581582
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2275 Issued in PR
Practice address
St. 833 KM. 12.4
Bo. Los Frailes
Guaynabo, PR 00970
Phone
(787) 790-6448
NPI assigned
Jan 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2275 PR Primary
Marriage & Family Therapist 106H00000X 2275 PR

Addresses

Primary practice location

St. 833 KM. 12.4
Bo. Los Frailes
Guaynabo, PR 00970

Mailing address

Pradera del Rio # 3112
St. Rio Bucana
Toa Alta, PR 00953-9111
Phone (787) 458-0161

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
2275PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1447581582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRADERA DEL RIO # 3112",
            "address_2": "ST. RIO BUCANA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009539111",
            "telephone_number": "787-458-0161",
            "fax_number": "787-799-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. 833 KM. 12.4",
            "address_2": "BO. LOS FRAILES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-790-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OQUENDO",
        "first_name": "REINALDO",
        "credential": "PH,D A.B.D , PCTFP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2275",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PR",
            "license": "2275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.