Awilda Alvarado Pomales, PSY.D.
Individual provider Active NPI Psychologist · San Juan, PR
NPI 1629316948 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1629316948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 004676 (PR)
- Practice address
- Ave. Pino, Villa del Rey
BLDG. 2D-29
San Juan, PR 00725 - Phone
- (787) 424-6100
- NPI assigned
- Jan 21, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004676 | PR | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 004676 | PR | Yes |
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
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.