Individual provider Active NPI

Naydimar Abreu Ortiz, M.A

  • Psychologist
  • San Juan, PR
National Provider Identifier
1710134259
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3073 Issued in PR
Practice address
130 Calle Costa Rica Apt 604
Condominio Venus Plaza B
San Juan, PR 00917-2518
Phone
(787) 758-7356
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3073 PR Primary

Addresses

Primary practice location

130 Calle Costa Rica Apt 604
Condominio Venus Plaza B
San Juan, PR 00917-2518

Mailing address

130 Calle Costa Rica Apt 604
Condominio Venus Plaza B
San Juan, PR 00917-2518
Phone (787) 758-7356

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3073PRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1710134259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CALLE COSTA RICA APT 604",
            "address_2": "CONDOMINIO VENUS PLAZA B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009172518",
            "telephone_number": "787-758-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CALLE COSTA RICA APT 604",
            "address_2": "CONDOMINIO VENUS PLAZA B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009172518",
            "telephone_number": "787-758-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "NAYDIMAR",
        "middle_name": "ABREU",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3073",
            "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 Aug 27, 2008; 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.