Active NPI
Rayza Vicmarie Maldonado, PHD
- Clinical Psychologist
- Guaynabo, PR
National Provider Identifier
1740807221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7763
- Practice address
- 81 Calle 3 Apt 512
Guaynabo, PR 00966-1684 - Phone
- (939) 332-0910
- NPI assigned
- Jun 30, 2020
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7763 | PR | Primary |
Addresses
Primary practice location
81 Calle 3 Apt 512
Guaynabo, PR 00966-1684
Mailing address
PO Box 646
Yabucoa, PR 00767-0646
Phone (939) 332-0910
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7763 | PR | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693612800000",
"number": "1740807221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 646",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007670646",
"telephone_number": "939-332-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 CALLE 3 APT 512",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009661684",
"telephone_number": "939-332-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "RAYZA",
"middle_name": "VICMARIE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2023-09-02",
"certification_date": "2023-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "7763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.