Individual provider Active NPI

Yarelis Marrero Pagan, MPSYC COUNSELING PSY

  • Counseling Psychologist
  • Aibonito, PR
National Provider Identifier
1760060396
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6822 Issued in PR
Practice address
Carr 725 KM 2.4
Bo. Llanos
Aibonito, PR 00705
Phone
(787) 615-0304
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6822 PR Primary

Addresses

Primary practice location

Carr 725 KM 2.4
Bo. Llanos
Aibonito, PR 00705

Mailing address

HC 2 Box 10195
Aibonito, PR 00705-9640
Phone (787) 615-0304

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL aibonito Direct
CONNECT URL aibonito

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

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1760060396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 10195",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007059640",
            "telephone_number": "787-615-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 725 KM 2.4",
            "address_2": "BO. LLANOS",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-615-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO PAGAN",
        "first_name": "YARELIS",
        "credential": "MPSYC COUNSELING PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aibonito",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Carr 725 km 2.4 Bo. Llanos Adentro",
            "address_2": "Calle Hipolito Padilla",
            "city": "aibonito",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aibonito",
            "affiliation": "N",
            "address_1": "Carr 725 km 2.4",
            "address_2": "Bo. Llanos",
            "city": "aibonito",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.