Active NPI
Maria de Lourdes Nadal Colon, PSY. D.
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1558801266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5839
- Practice address
- 23 Calle Alfonso XII
40 Ave Padre Noel
Ponce, PR 00716-8034 - Phone
- (787) 259-4463
- NPI assigned
- Feb 28, 2017
- Last updated
- Dec 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5839 | PR | Primary |
Addresses
Primary practice location
23 Calle Alfonso XII
40 Ave Padre Noel
Ponce, PR 00716-8034
Mailing address
A14 Calle Palma Real
Urb. Sagrado Corazon
Ponce, PR 00716-2548
Phone (787) 675-2261
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5839 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514505600000",
"number": "1558801266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A14 CALLE PALMA REAL",
"address_2": "URB. SAGRADO CORAZON",
"city": "PONCE",
"state": "PR",
"postal_code": "007162548",
"telephone_number": "787-675-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 CALLE ALFONSO XII",
"address_2": "40 AVE PADRE NOEL",
"city": "PONCE",
"state": "PR",
"postal_code": "007168034",
"telephone_number": "787-259-4463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADAL COLON",
"first_name": "MARIA DE LOURDES",
"name_prefix": "Mrs.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2017-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
- Jose Rafael Munoz-Morales, MD
- Carlos Miguel Munoz, D.M.D.
- Kevin William Munoz
- N & N Psychological Services (Instituto de Salud Integral)
- Francisco Javier Nadal Colon, MD
- Nancy E Williams Maltes (Laboratorio Clinico Williams)
- Nancy Williams Maltes PSC (Laboratorio Clinico Williams)
- Ethan Raymond Naquin
- Carmen J Narvaez Armstrong
- Hector M. Nater, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.