Individual provider Active NPI

Alessandra Landrau Salamo, PHD

  • Clinical Psychologist
  • Guaynabo, PR
National Provider Identifier
1457062978
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7556 Issued in PR
Practice address
Centro Int'L de Mercadeo I
100 Carr. 165 Suite #403
Guaynabo, PR 00968-8050
Phone
(787) 908-8840
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7556 PR Primary
Clinical Neuropsychologist 103G00000X 7556 PR

Addresses

Primary practice location

Centro Int'L de Mercadeo I
100 Carr. 165 Suite #403
Guaynabo, PR 00968-8050

Mailing address

Cond Plaza 20
603 Calle Hipodromo Apt. 406
San Juan, PR 00909
Phone (787) 354-4223

Other practice location 1

500 Ave Degetau
Hima Plaza 1 Suite 308 Piso 3
Caguas, PR 00725-7301
Phone (787) 908-8840

Other identifiers 1

IdentifierTypeStateIssuer
39873701MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260131000918 PR Practitioner - Clinical Psychologist 4587142500 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Ave Degetau
Caguas, PR 00725-7301
Phone (787) 908-8840

603 Calle Hipodromo
San Juan, PR 00909

HC 3 Box
Comerio, PR 00782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7556PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Multiple Sclerosis Center LLC PastSince Oct 9, 2023 Accepting new patients

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": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1457062978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND PLAZA 20",
            "address_2": "603 CALLE HIPODROMO APT. 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-354-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO INT'L DE MERCADEO I",
            "address_2": "100 CARR. 165 SUITE #403",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688050",
            "telephone_number": "787-908-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 AVE DEGETAU",
            "address_2": "HIMA PLAZA 1 SUITE 308 PISO 3",
            "address_purpose": "LOCATION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257301",
            "country_code": "US",
            "telephone_number": "787-908-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRAU SALAMO",
        "first_name": "ALESSANDRA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7556",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "7556",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39873701",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.