Active NPI
Cristina Maria Gallardo, LCDA
- Psychologist
- Ponce, PR
National Provider Identifier
1649743188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3758
- Practice address
- Plaza Real Anon Cotto Laurel Carretera 10
Ponce, PR 00730 - Phone
- (787) 447-4653
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3758 | PR | Primary |
Addresses
Primary practice location
Plaza Real Anon Cotto Laurel Carretera 10
Ponce, PR 00730
Mailing address
PO Box 561235
Guayanilla, PR 00656-3235
Phone (787) 447-4653
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3758 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1649743188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 561235",
"city": "GUAYANILLA",
"state": "PR",
"postal_code": "006563235",
"telephone_number": "787-447-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA REAL ANON COTTO LAUREL CARRETERA 10",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-447-4653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLARDO",
"first_name": "CRISTINA",
"middle_name": "MARIA",
"credential": "LCDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "3758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.