Active NPI
Isabel M. Hernandez-Ibarra, PSYD
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1780142562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6221
- Practice address
- 200 Ave Cupey Gardens Lote 3
Cupey Gardens Plaza
San Juan, PR 00926 - Phone
- (787) 292-0205
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 6221 | PR | Primary |
Addresses
Primary practice location
200 Ave Cupey Gardens Lote 3
Cupey Gardens Plaza
San Juan, PR 00926
Mailing address
15089 Calle Sendero Corto
Urb Las Haciendas
Canovanas, PR 00729
Phone (787) 967-3237
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6221 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1780142562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15089 CALLE SENDERO CORTO",
"address_2": "URB LAS HACIENDAS",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-967-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 AVE CUPEY GARDENS LOTE 3",
"address_2": "CUPEY GARDENS PLAZA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-292-0205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ-IBARRA",
"first_name": "ISABEL",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Manuel Santiago Hernandez-Gaitan, M.D.
- Andres Enrique Hernandez-Gonzalez
- Guevnex Hernandez-Gonzalez
- Iranis Nicole Hernandez-Gonzalez, MD
- Liza M Hernandez-Gonzalez, MD
- Edgardo Hernandez-Lopez, M.D.
- Juan Jose Hernandez-Maldonado, MD
- Wilfredo J Hernandez-Martinez, DMD
- Pedro Antonio Hernandez-Nevarez, M.D.
- Hernandez-Pons Hematology Oncology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.