Individual provider Active NPI

Julio Angel Del Campo, PHD

  • Psychologist
  • Ponce, PR
National Provider Identifier
1720325384
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
004749 Issued in PR
Practice address
3291 Calle Toscania
Ponce, PR 00716-2255
Phone
(787) 432-3085
NPI assigned
Jan 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 004749 PR Primary

Addresses

Primary practice location

3291 Calle Toscania
Ponce, PR 00716-2255

Mailing address

3291 Calle Toscania
Ponce, PR 00716-2255
Phone (787) 432-3085

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
004749PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1720325384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 CALLE TOSCANIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162255",
            "telephone_number": "787-432-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 CALLE TOSCANIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162255",
            "telephone_number": "787-432-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CAMPO",
        "first_name": "JULIO",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "004749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.