Active NPI
Wanda I Talavera Muniz, PHD
- Psychologist
- Aguadilla, PR
National Provider Identifier
1881892289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2913
- Practice address
- Carretera PR-2 KM. 122.5 Barrio Corrales
Aguadilla, PR 00603 - Phone
- (787) 382-5199
- Fax
- (787) 891-1393
- NPI assigned
- Jul 6, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2913 | PR | Primary |
Addresses
Primary practice location
Carretera PR-2 KM. 122.5 Barrio Corrales
Aguadilla, PR 00603
Mailing address
HC 02 Box 24137
Aguadilla, PR 00603
Phone (787) 382-5199
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2913 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501459200000",
"number": "1881892289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 02 BOX 24137",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-382-5199",
"fax_number": "787-891-1393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA PR-2 KM. 122.5 BARRIO CORRALES",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-382-5199",
"fax_number": "787-891-1393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALAVERA MUNIZ",
"first_name": "WANDA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2017-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "2913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.