Individual provider Active NPI

Wilmarie Palomo Colon, PH.D

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1861723892
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3617 Issued in PR
Practice address
9105 Calle Marina
Ponce, PR 00717-2058
Phone
(787) 358-7948
NPI assigned
Jan 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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 3617 PR Primary

Addresses

Primary practice location

9105 Calle Marina
Ponce, PR 00717-2058

Mailing address

Urb. Bella Vista
Calle Noble D 13
Ponce, PR 00716-0071
Phone (787) 358-7948

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
I20170622000135 PR Practitioner - Clinical Psychologist 3779851480 Practice locations: Coto Laurel, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3617PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Multidisciplinario de Salud Mental I-Musa Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1861723892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. BELLA VISTA",
            "address_2": "CALLE NOBLE D 13",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160071",
            "telephone_number": "787-358-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 CALLE MARINA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172058",
            "telephone_number": "787-358-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMO COLON",
        "first_name": "WILMARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.