Individual provider Active NPI

Angelica Maria Mena-Albors, PHD.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1609594035
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7191 Issued in PR
Practice address
601 Calle del Parque Ste 302
San Juan, PR 00909-2319
Phone
(787) 309-3535
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 7191 PR Primary

Addresses

Primary practice location

601 Calle del Parque Ste 302
San Juan, PR 00909-2319

Mailing address

1404 Ave Magdalena Apt 602
San Juan, PR 00907-2138
Phone (787) 309-3535

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7191PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1609594035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 AVE MAGDALENA APT 602",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072138",
            "telephone_number": "787-309-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CALLE DEL PARQUE STE 302",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092319",
            "telephone_number": "787-309-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA-ALBORS",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "credential": "PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.