Individual provider Active NPI

Roberto A Texeira

  • Addiction (Substance Use Disorder) Counselor
  • Ponce, PR
National Provider Identifier
1720394729
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACII15620278 Issued in PR
Practice address
Urb Las Monjitas Calle Monasterio 211
Ponce, PR 00730-3907
Phone
(787) 635-4384
Fax
(787) 844-4130
NPI assigned
Aug 27, 2010
Last updated
Aug 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACII15620278 PR Primary

Addresses

Primary practice location

Urb Las Monjitas Calle Monasterio 211
Ponce, PR 00730-3907

Mailing address

Urb Las Monjitas Calle Monasterio 211
Ponce, PR 00730-3907
Phone (787) 635-4384

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

LicenseStateTypeSpecialty
ACII15620278PRMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1720394729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LAS MONJITAS CALLE MONASTERIO 211",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303907",
            "telephone_number": "787-635-4384",
            "fax_number": "787-844-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LAS MONJITAS CALLE MONASTERIO 211",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303907",
            "telephone_number": "787-635-4384",
            "fax_number": "787-844-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEXEIRA",
        "first_name": "ROBERTO",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "ACII15620278",
            "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 Aug 27, 2010; 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.