Active NPI
Dalila Mendez Padin, DRA
- Clinical Psychologist
- Lares, PR
National Provider Identifier
1801575105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 007718
- Practice address
- Carr 129 Bo. Callejones
Lares, PR 00669 - Phone
- (787) 527-8348
- NPI assigned
- Jul 13, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 007718 | PR | Primary |
Addresses
Primary practice location
Carr 129 Bo. Callejones
Lares, PR 00669
Mailing address
HC 1 Box 4946
Camuy, PR 00627-9183
Phone (787) 527-8348
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 |
|---|---|---|---|
| 007718 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1801575105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 4946",
"city": "CAMUY",
"state": "PR",
"postal_code": "006279183",
"telephone_number": "787-527-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 129 BO. CALLEJONES",
"city": "LARES",
"state": "PR",
"postal_code": "00669",
"telephone_number": "787-527-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ PADIN",
"first_name": "DALILA",
"credential": "DRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-13",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "007718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lares, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.