Individual provider Active NPI

Karelys Osorio Mulero, PSY.D.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1659797371
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5518 Issued in PR
Practice address
1771 Bo Monacillos Pr8838
San Juan, PR 00926
Phone
(787) 964-9434
Fax
(787) 918-8097
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 5518 PR Primary

Addresses

Primary practice location

1771 Bo Monacillos Pr8838
San Juan, PR 00926

Mailing address

PO Box 366306
San Juan, PR 00936-6306
Phone (787) 964-9434

Other practice location 1

607 calle Condado
San Juan, PR 00907-3845
Phone (787) 964-9434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161014000574 PR Practitioner - Clinical Psychologist 1153620141 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5518PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659797371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366306",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366306",
            "telephone_number": "787-964-9434",
            "fax_number": "787-918-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 BO MONACILLOS PR8838",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-964-9434",
            "fax_number": "787-918-8097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 calle Condado",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009073845",
            "country_code": "US",
            "telephone_number": "787-964-9434",
            "fax_number": "787-918-8097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSORIO MULERO",
        "first_name": "KARELYS",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.