MPR Five Twelve Park LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MPR FIVE TWELVE PARK LLC

Practice address

512 Ave Andalucia Ste 2a
San Juan, PR 00920-0000

Phone

(787) 974-2211

NPI assigned

Sep 8, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Marieva Puig, PHDNPI 1538265970

Title

Administradora

Phone

(787) 974-2211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marieva Puig, PH.D.

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1538265970
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1497635551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 AVE ANDALUCIA STE 2A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009200000",
            "telephone_number": "787-974-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 AVE ANDALUCIA STE 2A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009200000",
            "telephone_number": "787-974-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPR FIVE TWELVE PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "PUIG",
        "authorized_official_first_name": "MARIEVA",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-974-2211",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.