Active NPI
Wandalisse Ronda, M.A.
- School Psychologist
- San Juan, PR
National Provider Identifier
1528356722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1748
- Practice address
- 268 San Jorge St
Ofic 101
San Juan, PR 00914-6308 - Phone
- (787) 249-1461
- NPI assigned
- Jul 21, 2011
- Last updated
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1748 | PR | Primary |
Addresses
Primary practice location
268 San Jorge St
Ofic 101
San Juan, PR 00914-6308
Mailing address
340 Ave Felisa Rincon Gautier
Apt. 2106 Paseo del Bosque
San Juan, PR 00926-6636
Phone (787) 249-1461
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1748 | PR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1528356722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 AVE FELISA RINCON GAUTIER",
"address_2": "APT. 2106 PASEO DEL BOSQUE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266636",
"telephone_number": "787-249-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 SAN JORGE ST",
"address_2": "OFIC 101",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009146308",
"telephone_number": "787-249-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONDA",
"first_name": "WANDALISSE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "1748",
"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 Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.