Dra Carmen L Maldonado Trinidad

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2666 Issued in PR

Legal business name

DRA CARMEN L MALDONADO TRINIDAD

Doing business as

Servicios Psicologicos Dra Carmen L Maldonado Trinidad

Practice address

B16 Ste 2 Calle Marginal
Urb Flamboyan
Manati, PR 00674

Phone

(787) 529-6055

Fax

(787) 369-7632

NPI assigned

Jan 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Carmen L Maldonado Trinidad, BAED; MAED; MAR;PSYDNPI 1568614857

Title

Clinical Psychologist / Owner

Phone

(787) 529-6055

Specialties & licenses 1

Addresses

Other names 1

• Servicios Psicologicos Dra Carmen L Maldonado Trinidad Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmen Lidia Maldonado Trinidad, PSY.D., MAED., MAR,

  • Clinical Psychologist
  • Manati, PR
  • NPI 1568614857
  NPD (past) Authorized official

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1578061412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740464",
            "telephone_number": "787-529-6055",
            "fax_number": "787-369-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B16 STE 2 CALLE MARGINAL",
            "address_2": "URB FLAMBOYAN",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-529-6055",
            "fax_number": "787-369-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA CARMEN L MALDONADO TRINIDAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MALDONADO TRINIDAD",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "787-529-6055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BAED; MAED; MAR;PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Servicios Psicologicos Dra Carmen L Maldonado Trinidad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Manati, PR
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• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.