NPIMap

Organization Active NPI

Alpes Advanced Logistic Psychological Educational Services

  • Clinical Psychologist
  • Vega Baja, PR
National Provider Identifier
1649601865
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4161 Issued in PR
Legal business name
ALPES ADVANCED LOGISTIC PSYCHOLOGICAL EDUCATIONAL SERVICES
Practice address
Carr #2 KM 41.3
Bo Algarrobo
Vega Baja, PR 00693
Phone
(787) 403-5644
NPI assigned
Dec 13, 2013
Last updated
Jan 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Maria Otero, M.D.
Title
President
Phone
(787) 403-5644

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 13642 PR
Addiction (Substance Use Disorder) Psychologist 103TA0400X 4161 PR
Clinical Psychologist 103TC0700X 4161 PR Primary
Health Service Psychologist 103TH0100X 4161 PR
Speech-Language Pathologist 235Z00000X 953 PR

Addresses

Primary practice location

Carr #2 KM 41.3
Bo Algarrobo
Vega Baja, PR 00693

Mailing address

219 Calle Thebe
Urb Paseo del Sol
Dorado, PR 00646-4668
Phone (787) 403-5644

National Provider Directory

National Provider Directory
Tax ID family
Advance Logistic Psychological Educational Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1649601865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CALLE THEBE",
            "address_2": "URB PASEO DEL SOL",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464668",
            "telephone_number": "787-403-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 41.3",
            "address_2": "BO ALGARROBO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-403-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPES ADVANCED LOGISTIC PSYCHOLOGICAL EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-403-5644",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "13642",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "4161",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4161",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "PR",
            "license": "4161",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.