Active NPI
Damaris Esther Cristobal, M.PSY
- Counseling Psychologist
- Carolina, PR
National Provider Identifier
1871838045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3860
- Practice address
- 503 Calle Segovia
Urb. Vistamar
Carolina, PR 00983-1426 - Phone
- (787) 410-6613
- NPI assigned
- Nov 29, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3860 | PR | Primary |
Addresses
Primary practice location
503 Calle Segovia
Urb. Vistamar
Carolina, PR 00983-1426
Mailing address
Segovia St. 503 Vistamar
Carolina, PR 00987
Phone (787) 410-6613
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1871838045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SEGOVIA ST. 503 VISTAMAR",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-410-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 CALLE SEGOVIA",
"address_2": "URB. VISTAMAR",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009831426",
"telephone_number": "787-410-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISTOBAL",
"first_name": "DAMARIS",
"middle_name": "ESTHER",
"name_prefix": "Mrs.",
"credential": "M.PSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-29",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "3860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.