Active NPI
William Becerra, MH
- Mental Health Counselor
- Carolina, PR
National Provider Identifier
1588865356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1658
- Practice address
- Thomasville Park
Edif. 1 Apt. 1104
Carolina, PR 00987 - Phone
- (787) 887-8972
- Fax
- (787) 277-9595
- NPI assigned
- May 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1658 | PR | Primary |
Addresses
Primary practice location
Thomasville Park
Edif. 1 Apt. 1104
Carolina, PR 00987
Mailing address
P.O. Box 10,000 PMB 300
Canovanas, PR 00729
Phone (787) 887-8972
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1658 | PR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588865356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 10,000 PMB 300",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-887-8972",
"fax_number": "787-277-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THOMASVILLE PARK",
"address_2": "EDIF. 1 APT. 1104",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-887-8972",
"fax_number": "787-277-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECERRA",
"first_name": "WILLIAM",
"credential": "MH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PR",
"license": "1658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.