Individual provider Active NPI

Eldjulisse De Hostos, MD

  • Mental Health Counselor
  • Catano, PR
National Provider Identifier
1558824979
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
168 Ave Barbosa
Catano, PR 00962-4782
Phone
(787) 788-4544
NPI assigned
Apr 11, 2019
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

168 Ave Barbosa
Catano, PR 00962-4782

Mailing address

168 Ave Barbosa
Catano, PR 00962-4782

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.facebook.com/pages/category/Mental-Health-Service/Psychology-Castro-Lebr%C3%B3n-PSC-1827

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Castro Lebron PSC PastSince Sep 12, 2018 Accepting new patients
Castro & Rivera Psychological Services, LLC PastSince Sep 30, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1558824979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 AVE BARBOSA",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009624782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 AVE BARBOSA",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009624782",
            "telephone_number": "787-788-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE HOSTOS",
        "first_name": "ELDJULISSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.facebook.com/pages/category/Mental-Health-Service/Psychology-Castro-Lebr%C3%B3n-PSC-1827",
            "affiliation": "N",
            "address_1": "168 Ave Barbosa",
            "city": "Catano",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009624782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Catano, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.