Active NPI
Edgar Campos, PHD
- Clinical Neuropsychologist
- San Juan, PR
National Provider Identifier
1467110759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 7127
- Practice address
- Clinica Las Americas
400 Avenida F.D. Roosevel
San Juan, PR 00936 - Phone
- (939) 439-8163
- NPI assigned
- Dec 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7127 | PR | |
| Clinical Neuropsychologist | 103G00000X | 7127 | PR | Primary |
Addresses
Primary practice location
Clinica Las Americas
400 Avenida F.D. Roosevel
San Juan, PR 00936
Mailing address
Colinas de San Martin
C9 Calle 4
Juana Diaz, PR 00795
Phone (939) 439-8163
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 |
|---|---|---|---|
| 7127 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1467110759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COLINAS DE SAN MARTIN",
"address_2": "C9 CALLE 4",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"telephone_number": "939-439-8163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLINICA LAS AMERICAS",
"address_2": "400 AVENIDA F.D. ROOSEVEL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "939-439-8163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "EDGAR",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-03",
"last_updated": "2023-10-19",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "7127",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "PR",
"license": "7127",
"primary": true
}
],
"identifiers": [],
"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 Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.