Individual provider Active NPI

Ana Rita Pinilla, PH.D.

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1578836250
Registry record updated Feb 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
469 Issued in PR
Practice address
200 Ave Rafael Cordero
Suite 140
Caguas, PR 00725-3740
Phone
(787) 653-5105
NPI assigned
Feb 11, 2012
Last updated
Feb 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 469 PR Primary

Addresses

Primary practice location

200 Ave Rafael Cordero
Suite 140
Caguas, PR 00725-3740

Mailing address

206 Calle Betances FNL
Local # 3
Caguas, PR 00725-5387
Phone (787) 653-5105

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 Philosophy

State licenses

LicenseStateTypeSpecialty
469PRMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1328918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328918400000",
    "number": "1578836250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CALLE BETANCES FNL",
            "address_2": "LOCAL # 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255387",
            "telephone_number": "787-653-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE RAFAEL CORDERO",
            "address_2": "SUITE 140",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253740",
            "telephone_number": "787-653-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINILLA",
        "first_name": "ANA",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-11",
        "last_updated": "2012-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2012; 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.