Active NPI
Ricardo Burgos Pacheco, PSICOLOGO
- Clinical Psychologist
- Sabana Grande, PR
National Provider Identifier
1669730024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3985
- Practice address
- 18 Calle San Isidro
Sabana Grande, PR 00637-1855 - Phone
- (787) 477-1428
- NPI assigned
- Apr 23, 2012
- Last updated
- Apr 23, 2012
- Sex
- Male
- 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 | 3985 | PR | Primary |
Addresses
Primary practice location
18 Calle San Isidro
Sabana Grande, PR 00637-1855
Mailing address
Urbanizacion Hacienda Florida ,Calle Aleli 591
Yauco, PUERTO RICO 00698
UM
Phone (787) 856-2117
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 |
|---|---|---|---|
| 3985 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1669730024",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "URBANIZACION HACIENDA FLORIDA ,CALLE ALELI 591",
"city": "YAUCO",
"state": "PUERTO RICO",
"postal_code": "00698",
"telephone_number": "787-856-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CALLE SAN ISIDRO",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "006371855",
"telephone_number": "787-477-1428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "RICARDO",
"middle_name": "BURGOS",
"name_prefix": "Dr.",
"credential": "PSICOLOGO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sabana Grande, PR
- Orthotech Orthopedic Group LLC
- Edgardo Ortiz Rivera
- Sibel N Pabon Reyes, MD
- Ruben D Pacheco Pacheco, EMT-P
- Iluminade Pacheco, MEDICAL TECHNOLOGYST
- Yaritza Padilla Torres
- Jenaro Pagan Lagomarsini, M.D.
- Magaly Paneto-Camacho, LCSW
- Cristian Gabriel Pellicier Rodriguez, M.S. IN PSYCHOLOGY
- Yamilet Marie Perez Montalvo, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.