Active NPI
Leshmarie Demorizi Guzman
- Counseling Psychologist
- San Juan, PR
National Provider Identifier
1780390831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 7527
- Practice address
- #463 Ave. Juan Ponce de Leon/Plaza Aeela Suite 712
San Juan, PR 00917 - Phone
- (939) 205-2345
- Fax
- (787) 946-5549
- NPI assigned
- Jan 23, 2023
- Last updated
- Feb 22, 2023
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 7527 | PR | Primary |
Addresses
Primary practice location
#463 Ave. Juan Ponce de Leon/Plaza Aeela Suite 712
San Juan, PR 00917
Mailing address
Urb. Los Colobos Park Calle Almendro 104
Carolina, PR 00987
Phone (939) 241-8777
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 |
|---|---|---|---|
| 7527 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1780390831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. LOS COLOBOS PARK CALLE ALMENDRO 104",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "939-241-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#463 AVE. JUAN PONCE DE LEON/PLAZA AEELA SUITE 712",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "939-205-2345",
"fax_number": "787-946-5549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMORIZI GUZMAN",
"first_name": "LESHMARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "7527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.