Active NPI
Maria Ilia Fuster, PSY.D.
- Clinical Psychologist
- Toa Baja, PR
National Provider Identifier
1861817082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5451
- Practice address
- Rey Alberto St. Apt. 6206
Quinta Real
Toa Baja, PR 00949 - Phone
- (787) 413-2620
- NPI assigned
- Feb 25, 2014
- 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 | 5451 | PR | Primary |
Addresses
Primary practice location
Rey Alberto St. Apt. 6206
Quinta Real
Toa Baja, PR 00949
Mailing address
Rey Alberto St. Apt. 6206
Quinta Real
Toa Baja, PR 00949
Phone (787) 413-2620
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 |
|---|---|---|---|
| 5451 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393286400000",
"number": "1861817082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "REY ALBERTO ST. APT. 6206",
"address_2": "QUINTA REAL",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00949",
"telephone_number": "787-413-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "REY ALBERTO ST. APT. 6206",
"address_2": "QUINTA REAL",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00949",
"telephone_number": "787-413-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSTER",
"first_name": "MARIA",
"middle_name": "ILIA",
"name_prefix": "Mrs.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-25",
"last_updated": "2014-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.