Adria Polanco Guzman, M.A.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

008008 Issued in PR

Practice address

Calle Baldorioty #63 Oeste
Guayama, PR 00784-0000

Phone

(787) 204-4251

NPI assigned

Nov 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1598580839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 7295",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007843562",
            "telephone_number": "787-204-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BALDORIOTY #63 OESTE",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007840000",
            "telephone_number": "787-204-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO GUZMAN",
        "first_name": "ADRIA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "008008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premier Anesthesia Consultants, P.S.C.
• Pro Health Infusion

• Counseling Psychologist in Guayama, PR
• Providers in Guayama, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.