Nitza M Baquero, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1750 Issued in PR

Practice address

180 Ave Winston Churchill
Crown Hill
San Juan, PR 00926-6013

Phone

(787) 647-2930

NPI assigned

May 22, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Centro Medicina Alternativa

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1760545388
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881803328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009700280",
            "telephone_number": "787-647-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 AVE WINSTON CHURCHILL",
            "address_2": "CROWN HILL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-647-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAQUERO",
        "first_name": "NITZA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banco de Sangre Servicios Mutuos Inc
• Dweepkumar I Bangdiwala, M.D.
• Banucci Institute
• Isabel Banuchi, M.D.
• Ivonne Marie Banuchi, M.D.
• Francisco Javier Barajas Duque, MD
• Julie Ann Baraldi Perez, SLP
• Claudia Sofia Baralt Torres
• Eligio E Barasorda, M.D.
• Barbara Diaz Hernandez MD Research Inc

• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.