Jose Daniel Guadalupe, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7170 Issued in PR

Practice address

Ave. San Cristobal
Lote 1 O 2
Cotto Laurel, PR 00780

Phone

(787) 365-1260

NPI assigned

Dec 9, 2021

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Servicios Interdisciplinarios de Bienestar Mental LLC

  • Clinical Psychologist
  • Ponce, PR
  • NPI 1053242453
  NPD Authorized official
• Centro Holistico Bienestar Mental

  dba Centro Holistico Para El Bienestar de la Salud Mental

  • Psychiatry Physician
  • Caguas, PR
  • NPI 1932405255
  NPD (past)
• N & N Psychological Services

  dba Instituto de Salud Integral

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
  • NPI 1609006576
  NPD (past)
• Servicios Clinicos Interdisciplinarios LLC

  • Clinical Psychologist
  • Coto Laurel, PR
  • NPI 1669224200
  NPD (past)

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1609535368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXT ESTANCIAS DEL MAYORAL 92",
            "address_2": "CALLE VINAZA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-298-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. SAN CRISTOBAL",
            "address_2": "LOTE 1 O 2",
            "city": "COTTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-365-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADALUPE",
        "first_name": "JOSE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis F Beaz Rivera, M.D.
• Cotto Laurel Gastroenterology Consultants PSC
• Maritza Figueroa, MSW
• Puerto Rico Eyecare Center LLC
• Miguel Serpa Perez

• Clinical Psychologist in Cotto Laurel, PR
• Providers in Cotto Laurel, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.