Active NPI
Fernando Garcia-Castano, PH.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1457445090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1028
- Practice address
- 201 De Diego Avenue
Plaza San Francisco, Suite 105
San Juan, PR 00927 - Phone
- (787) 250-7414
- Fax
- (787) 759-5093
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 1028 | PR | Primary |
Addresses
Primary practice location
201 De Diego Avenue
Plaza San Francisco, Suite 105
San Juan, PR 00927
Mailing address
201 De Diego Avenue
Plaza San Francisco, Suite 105
San Juan, PR 00927
Phone (787) 250-7414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84176 | Other | PR | TRIPLE S |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1028 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporacion Psicopedagogica | Clinical | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Consultorio Psicologico y Educativo
- Clinical Psychologist
- San Juan, PR
- NPI 1912092917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457445090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DE DIEGO AVENUE",
"address_2": "PLAZA SAN FRANCISCO, SUITE 105",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-250-7414",
"fax_number": "787-759-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DE DIEGO AVENUE",
"address_2": "PLAZA SAN FRANCISCO, SUITE 105",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-250-7414",
"fax_number": "787-759-5093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA-CASTANO",
"first_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "84176",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.