Eida Enid Altreche Tirado, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

007312 Issued in PR

Practice address

Suite 11 Centro Isabelino de Medicina Avanzada (Cima Em
112 KM 1.4 Ave. Agustin Ramos Calero Bo. Mora
Isabela, PR 00662

Phone

(787) 517-3487

NPI assigned

Jul 9, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1780502427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 11 CENTRO ISABELINO DE MEDICINA AVANZADA (CIMA)",
            "address_2": "112 KM 1.4 AVE. AGUSTIN RAMOS CALERO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-932-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 11 CENTRO ISABELINO DE MEDICINA AVANZADA (CIMA EM",
            "address_2": "112 KM 1.4 AVE. AGUSTIN RAMOS CALERO BO. MORA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-517-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTRECHE TIRADO",
        "first_name": "EIDA",
        "middle_name": "ENID",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "007312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Isabela, PR
• Providers in Isabela, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.