Individual provider Active NPI

Jose Plaud, C. A. G. S.

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1639296734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
470 Issued in PR
Practice address
1910 Americas Ave.
Urb. San Antonio
Ponce, PR 00728
Phone
(787) 259-5990
Fax
(787) 259-5990
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 470 PR Primary

Addresses

Primary practice location

1910 Americas Ave.
Urb. San Antonio
Ponce, PR 00728

Mailing address

E10 Calle Marginal
Urb. Anayda
Ponce, PR 00716-2558
Phone (787) 259-5990

Other names 1

  • Mr. Jose Plaud Other 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

State licenses

LicenseStateTypeSpecialty
470PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639296734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E10 CALLE MARGINAL",
            "address_2": "URB. ANAYDA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162558",
            "telephone_number": "787-259-5990",
            "fax_number": "787-259-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 AMERICAS AVE.",
            "address_2": "URB. SAN ANTONIO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-259-5990",
            "fax_number": "787-259-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAUD",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "C. A. G. S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "PLAUD",
            "prefix": "MR.",
            "credential": "C. A. G. S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.