Active NPI
Maria del Mar Ayala Charriez, PSYD
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1790944767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2161
- Practice address
- Ave Jesus T Pinero #265
Urb Hyde Park Apt #2
San Juan, PR 00927 - Phone
- (787) 400-2999
- NPI assigned
- Jun 5, 2008
- Last updated
- Aug 1, 2016
- 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 | 2161 | PR | Primary |
Addresses
Primary practice location
Ave Jesus T Pinero #265
Urb Hyde Park Apt #2
San Juan, PR 00927
Mailing address
D6 Calle 2
Colinas Verdes
San Juan, PR 00927
Phone (787) 400-2999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2161 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1790944767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "D6 CALLE 2",
"address_2": "COLINAS VERDES",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-400-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE JESUS T PINERO #265",
"address_2": "URB HYDE PARK APT #2",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-400-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA CHARRIEZ",
"first_name": "MARIA DEL MAR",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2161",
"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 Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.