Pura Del Carmen Dedos, PSY.D.,M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1561 Issued in PR

Practice address

2431 Ave Las Americas
Edificio a. Porrata Pila Suite 205
Ponce, PR 00717-2113

Phone

(787) 848-5050

Fax

(787) 848-5175

NPI assigned

Nov 14, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Ponce School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1881675114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 AVE LAS AMERICAS",
            "address_2": "EDIFICIO A PORRATA PILA SUITE #205",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172113",
            "telephone_number": "787-385-3300",
            "fax_number": "787-848-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 AVE LAS AMERICAS",
            "address_2": "EDIFICIO A. PORRATA PILA SUITE 205",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172113",
            "telephone_number": "787-848-5050",
            "fax_number": "787-848-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDOS",
        "first_name": "PURA",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.,M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian De la Rosa
• Gabriel De la Torre Bisot, M.D.
• Francisco Jose De Leon
• Monica Cristina De Leon
• Pablo Jose Decastro, M.D.
• Nilde J. Defendini Cordoliani, P.H.D.
• Deg Anesthesia Group, PSC
• Degmar Clinical Laboratory Inc
• Reynaldo Dejesus-Rodriguez, M.D.
• Julio Angel Del Campo, PHD

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.