Individual provider Active NPI

Axel Ramos Lucca, PHD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1598127482
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4738 Issued in PR
Practice address
7 Paseo del Puerto Apt 228
Ponce, PR 00716-1231
Phone
(939) 639-0425
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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 4738 PR Primary

Addresses

Primary practice location

7 Paseo del Puerto Apt 228
Ponce, PR 00716-1231

Mailing address

7 Paseo del Puerto Apt 228
Ponce, PR 00716-1231
Phone (939) 639-0425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161108001751 PR Practitioner - Clinical Psychologist 7315226784 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5260 Amalia Marin
Calle Angel Perez Lugo
Ponce, PR 00716-1377

7 Paseo del Puerto
Apt 228
Ponce, PR 00716-1231

Urb San Antonio Calle Damasco
1405 Esq Ave Las Americas
Ponce, PR 00716-1231
Phone (939) 639-0425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1598127482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PASEO DEL PUERTO APT 228",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161231",
            "telephone_number": "939-639-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PASEO DEL PUERTO APT 228",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161231",
            "telephone_number": "939-639-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS LUCCA",
        "first_name": "AXEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.