Individual provider Active NPI

Julimar Saez Colon, PHD

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1699250845
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6139 Issued in PR
Practice address
F35 Ave Degatau
Urb Bonneville Heights
Caguas, PR 00725
Phone
(787) 296-9776
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6139 PR Primary

Addresses

Primary practice location

F35 Ave Degatau
Urb Bonneville Heights
Caguas, PR 00725

Mailing address

PO Box 545
Barranquitas, PR 00794-0545
Phone (787) 296-9776

Other practice location 1

706 Pedro Albizu Campos Avenue
Suite 105 la Fuente Town Center
Guayama, PR 00784
Phone (787) 296-9776

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6139PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1699250845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940545",
            "telephone_number": "787-296-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "F35 AVE DEGATAU",
            "address_2": "URB BONNEVILLE HEIGHTS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-296-9776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 PEDRO ALBIZU CAMPOS AVENUE",
            "address_2": "SUITE 105 LA FUENTE TOWN CENTER",
            "address_purpose": "LOCATION",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-296-9776",
            "fax_number": "787-296-9712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAEZ COLON",
        "first_name": "JULIMAR",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2021-09-17",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.