Maria C. Declet, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

307 Issued in PR

Practice address

1002 Munoz Rivera Ave.
Suite 205 Olimpo Plaza
San Juan, PR 00927-5006

Phone

(787) 763-0064

Fax

(787) 272-4508

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1518040377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F1 EL ALAMO DR",
            "address_2": "URB. EL ALAMO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694584",
            "telephone_number": "787-790-0887",
            "fax_number": "787-272-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MUNOZ RIVERA AVE.",
            "address_2": "SUITE 205 OLIMPO PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275006",
            "telephone_number": "787-763-0064",
            "fax_number": "787-272-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLET",
        "first_name": "MARIA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Stephanie De Oleo Montas
• Nydia Y. De Soto, M.D.
• Antonio De Thomas-Cabrera, M.D.
• Gabriel De Zayas Rodriguez, PHD
• Wanda L Decardona, PSYD
• Angel J Defendini-Corretjer, M. D.
• Ana Maria Defendini, D.M.D.
• David M. Dejesus
• Alan Del Castillo, M.D.
• Adriana Del Llano Torres, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.