Individual provider Active NPI

Elizabeth Arleen Caban, LCDA

  • Psychologist
  • Arecibo, PR
National Provider Identifier
1609115203
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3193 Issued in PR
Practice address
552 Ave Jose a Cedeno
Arecibo Mini Plaza Suite 4
Arecibo, PR 00612-3963
Phone
(787) 479-2229
Fax
(787) 915-5590
NPI assigned
Feb 4, 2013
Last updated
Feb 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3193 PR Primary

Addresses

Primary practice location

552 Ave Jose a Cedeno
Arecibo Mini Plaza Suite 4
Arecibo, PR 00612-3963

Mailing address

552 Ave Jose a Cedeno
Arecibo Mini Plaza Suite 4
Arecibo, PR 00612-3963
Phone (787) 479-2229

Other names 1

  • Mrs. Elizabeth Arleen Caban Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1609115203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 AVE JOSE A CEDENO",
            "address_2": "ARECIBO MINI PLAZA SUITE 4",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123963",
            "telephone_number": "787-479-2229",
            "fax_number": "787-915-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 AVE JOSE A CEDENO",
            "address_2": "ARECIBO MINI PLAZA SUITE 4",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123963",
            "telephone_number": "787-479-2229",
            "fax_number": "787-915-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABAN",
        "first_name": "ELIZABETH",
        "middle_name": "ARLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CABAN",
            "middle_name": "ARLEEN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.