Individual provider Active NPI

Awilda Alvarado Pomales, PSY.D.

  • Psychologist
  • San Juan, PR
National Provider Identifier
1629316948
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
004676 Issued in PR
Practice address
Ave. Pino, Villa del Rey
BLDG. 2D-29
San Juan, PR 00725
Phone
(787) 424-6100
NPI assigned
Jan 21, 2013
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 004676 PR Primary

Addresses

Primary practice location

Ave. Pino, Villa del Rey
BLDG. 2D-29
San Juan, PR 00725

Mailing address

PO Box 5166
Caguas, PR 00726-5166
Phone (787) 586-5082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004676PRMDPsychologist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1629316948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5166",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007265166",
            "telephone_number": "787-586-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. PINO, VILLA DEL REY",
            "address_2": "BLDG. 2D-29",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-424-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO POMALES",
        "first_name": "AWILDA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "004676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.