Active NPI
Carmen Rosario Chico, MS
- Clinical Psychologist
- Rio Piedras, PR
National Provider Identifier
1487861415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001134
- Practice address
- Centro Metadona San Juan
Pabellon G Centro Medico
Rio Piedras, PR 00927-5318 - Phone
- (787) 767-9243
- NPI assigned
- May 17, 2007
- Sex
- Female
- 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 | 001134 | PR | Primary |
Addresses
Primary practice location
Centro Metadona San Juan
Pabellon G Centro Medico
Rio Piedras, PR 00927-5318
Mailing address
1084 Calle 15
Villa Nevarez
San Juan, PR 00927-5318
Phone (787) 756-5431
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001134 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487861415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1084 CALLE 15",
"address_2": "VILLA NEVAREZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009275318",
"telephone_number": "787-756-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO METADONA SAN JUAN",
"address_2": "PABELLON G CENTRO MEDICO",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "009275318",
"telephone_number": "787-767-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICO",
"first_name": "CARMEN",
"middle_name": "ROSARIO",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "001134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Piedras, 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.