Active NPI
Deborah Marie Carrero Pardo
- Clinical Psychologist
- Isabela, PR
National Provider Identifier
1770116196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6334
- Practice address
- 21 Calle Mar Caribe
Isabela, PR 00662-3371 - Phone
- (787) 519-0432
- NPI assigned
- Feb 13, 2020
- Last updated
- Feb 13, 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 | 6334 | PR | Primary |
Addresses
Primary practice location
21 Calle Mar Caribe
Isabela, PR 00662-3371
Mailing address
21 Calle Mar Caribe
Isabela, PR 00662-3371
Phone (787) 519-0432
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6334 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1770116196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CALLE MAR CARIBE",
"city": "ISABELA",
"state": "PR",
"postal_code": "006623371",
"telephone_number": "787-519-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CALLE MAR CARIBE",
"city": "ISABELA",
"state": "PR",
"postal_code": "006623371",
"telephone_number": "787-519-0432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRERO PARDO",
"first_name": "DEBORAH",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isabela, PR
- Diego M Canabal Lopez, MD
- Magaly Capella, OTL
- Cardona Ambulance LLC
- Abdriel Cardona Mercado
- Hector Ivan Carides, RN
- Jesussugey Castro
- Centro Actua LLC
- Centro de Adultos Y Ninos Con Impedimentos Inc
- Centro de Rehabilitacion Y Terapia Fisica El-Rapha Inc
- Centro de Rehabilitacion Y Terapia Fisica El-Rapha Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.