Individual provider Active NPI

Libna A. Sanjurjo-Melendez, PSYD.

  • Clinical Psychologist
  • Levittown, PR
National Provider Identifier
1760714836
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3678 Issued in PR
Practice address
Ea-4 Calle Rosa de Tejas
Urb. la Rosaleda
Levittown, PR 00949
Phone
(787) 587-4130
NPI assigned
Feb 1, 2010
Last updated
Apr 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3678 PR Primary

Addresses

Primary practice location

Ea-4 Calle Rosa de Tejas
Urb. la Rosaleda
Levittown, PR 00949

Mailing address

P.O. Box 7171
San Juan, PR 00916
Phone (787) 587-4130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000195 PR Practitioner - Clinical Psychologist 0143400317 Practice locations: Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Jose Canals
458 Urb Roosevelt Suite 1
Hato Rey, PR 00918-2708
Phone (787) 587-4130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3678PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1760714836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7171",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00916",
            "telephone_number": "787-587-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EA-4 CALLE ROSA DE TEJAS",
            "address_2": "URB. LA ROSALEDA",
            "city": "LEVITTOWN",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-587-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJURJO-MELENDEZ",
        "first_name": "LIBNA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PR

Sources for this page

Verify at the official NPI Registry.