Active NPI
Servicios Psicologicos Mente-Libre
- Clinical Psychologist
- San German, PR
National Provider Identifier
1497467930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SERVICIOS PSICOLOGICOS MENTE-LIBRE
- Practice address
- Torre Medica San Vicente de Paul
Suite 410
San German, PR 00683 - Phone
- (787) 531-8479
- NPI assigned
- Dec 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Wigmar Diaz Ramos
- Title
- President
- Phone
- (787) 531-8479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
Torre Medica San Vicente de Paul
Suite 410
San German, PR 00683
Mailing address
Glenview Calle Eneas F20
Ponce, PR 00730
Phone (787) 531-8479
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671062400000",
"number": "1497467930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GLENVIEW CALLE ENEAS F20",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-531-8479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TORRE MEDICA SAN VICENTE DE PAUL",
"address_2": "SUITE 410",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-531-8479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERVICIOS PSICOLOGICOS MENTE-LIBRE",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-15",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A",
"authorized_official_last_name": "DIAZ RAMOS",
"authorized_official_first_name": "WIGMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-531-8479",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.