Active NPI
Marines Vigo, M.A.
- Psychologist
- Orlando, FL
National Provider Identifier
1740637115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5623
- Practice address
- 1114 Redman St
Apt B
Orlando, FL 32839 - Phone
- (787) 224-1838
- NPI assigned
- May 16, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5623 | PR | Primary |
Addresses
Primary practice location
1114 Redman St
Apt B
Orlando, FL 32839
Mailing address
1114 Redman St
Apt B
Orlando, FL 32839
Phone (787) 224-1838
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5623 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1740637115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 REDMAN ST",
"address_2": "APT B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32839",
"telephone_number": "787-224-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 REDMAN ST",
"address_2": "APT B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32839",
"telephone_number": "787-224-1838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGO",
"first_name": "MARINES",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.