Ivelisse D Cabiya, MAESTRIA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

663 Issued in PR

Practice address

Jose de Diego #6
Ciales, PR 00638

Phone

(787) 871-0356

Fax

(787) 871-2211

NPI assigned

Sep 5, 2007

Last updated

Sep 5, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1538353370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOSE DE DIEGO #6",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "00638",
            "telephone_number": "787-871-0356",
            "fax_number": "787-871-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOSE DE DIEGO #6",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "00638",
            "telephone_number": "787-871-0356",
            "fax_number": "787-871-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABIYA",
        "first_name": "IVELISSE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MAESTRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aixa M Bou
• BS Professional Services LLC (Ciales Chiropractic)
• Alex Leonardo Burgos Hernandez, DC
• Delymar Burgos
• Marlene Caban
• Hildaly Campos Laracuente
• Frank Campos Lopez, MD
• Maria Isabel Carrion
• Carmen Matilde Cartagena Santiago, MT
• Centro Imec, Inc.

• Clinical Psychologist in Ciales, PR
• Providers in Ciales, 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 Sep 5, 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.

Verify at the official NPI Registry.