Active NPI
Karelys Osorio Mulero, PSY.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1659797371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5518
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161014000574 | PR | Practitioner - Clinical Psychologist | 1153620141 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5518 | PR | MD | General 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.