Individual provider Active NPI

Hector Carradero, PH.D.

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1831438464
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4828 Issued in PR
Practice address
Ave Rafael Cordero, Esq. Troche
Caguas, PR 00725-2646
Phone
(787) 653-0800
Fax
(787) 957-7060
NPI assigned
Feb 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4828 PR Primary

Addresses

Primary practice location

Ave Rafael Cordero, Esq. Troche
Caguas, PR 00725-2646

Mailing address

PO Box 1371
Caguas, PR 00726-1371
Phone (787) 220-2756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724011013 PR Practitioner - Clinical Psychologist 0042523649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4828PRMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1831438464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1371",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261371",
            "telephone_number": "787-220-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE RAFAEL CORDERO, ESQ. TROCHE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252646",
            "telephone_number": "787-653-0800",
            "fax_number": "787-957-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRADERO",
        "first_name": "HECTOR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-01",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.