NPIMap

Organization Active NPI

Instituto Multidisciplinario Y Educativo del Centro

  • Psychologist
  • Cayey, PR
National Provider Identifier
1639455611
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
898 Issued in PR
Legal business name
INSTITUTO MULTIDISCIPLINARIO Y EDUCATIVO DEL CENTRO
Practice address
Ave Antonio R Barcelo
KM 73.6
Cayey, PR 00736-3717
Phone
(787) 263-8108
Fax
(787) 263-8108
NPI assigned
Oct 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

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

Authorized official

Name
Mrs. Alba Iris Castillo
Title
Director
Phone
(787) 263-8108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 898 PR Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 898 PR

Addresses

Primary practice location

Ave Antonio R Barcelo
KM 73.6
Cayey, PR 00736-3717

Mailing address

PO Box 6400
Suite 118
Cayey, PR 00737-6400
Phone (787) 263-8108

Other names 1

  • IMEC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319328000000",
    "number": "1639455611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6400",
            "address_2": "SUITE 118",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007376400",
            "telephone_number": "787-263-8108",
            "fax_number": "787-263-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ANTONIO R BARCELO",
            "address_2": "KM 73.6",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363717",
            "telephone_number": "787-263-8108",
            "fax_number": "787-263-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO MULTIDISCIPLINARIO Y EDUCATIVO DEL CENTRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ALBA",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-263-8108",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "898",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMEC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2011; 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.