Individual provider Active NPI

Tomas Larrieux Sr., PH.D.

  • Clinical Neuropsychologist
  • Aguadilla, PR
National Provider Identifier
1801884036
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0086 Issued in PR
Practice address
5 Ave Los Robles
Aguadilla, PR 00603-5609
Phone
(787) 891-7919
Fax
(787) 997-1251
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0086 PR Primary

Addresses

Primary practice location

5 Ave Los Robles
Aguadilla, PR 00603-5609

Mailing address

5 Ave Los Robles
P.O. Box 3864
Aguadilla, PR 00603-5609
Phone (787) 891-7919

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0086PRMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1801884036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 AVE LOS ROBLES",
            "address_2": "P.O. BOX 3864",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035609",
            "telephone_number": "787-891-7919",
            "fax_number": "787-997-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 AVE LOS ROBLES",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035609",
            "telephone_number": "787-891-7919",
            "fax_number": "787-997-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRIEUX",
        "first_name": "TOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "0086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.