Individual provider Active NPI

Jey Romero Tosado

  • Clinical Psychologist
  • Vega Baja, PR
National Provider Identifier
1881949790
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4334 Issued in PR
Practice address
Carr 2 KM 42.5
Bo Algarrobo
Vega Baja, PR 00694
Phone
(787) 313-8344
Fax
(787) 621-4025
NPI assigned
Jul 17, 2012
Last updated
Feb 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4334 PR Primary

Addresses

Primary practice location

Carr 2 KM 42.5
Bo Algarrobo
Vega Baja, PR 00694

Mailing address

PO Box 620
Vega Baja, PR 00694-0620
Phone (787) 313-8344

Other identifiers 1

IdentifierTypeStateIssuer
4292902OtherPRDRIVER'S LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130712000458 PR Practitioner - Clinical Psychologist 7719127869 Reassigns benefits to 2 organizations
Practice locations: Vega Baja, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
004334PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince Sep 9, 2018 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Sep 9, 2018 Accepting new patients
Salud Integral En la Montana, Inc. Current Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Sep 9, 2018 Accepting new patients
Salud Integral En la Montana, Inc. Past Accepting new patients
Salud Integral En la Montana, Inc Past Accepting new patients
Salud Integral En la Montana, Inc Past Accepting new patients
Salud Integral En la Montana, Inc Past Accepting new patients

Locations

16 Calle Antonio R Barcelo
Toa Alta, PR 00953
Phone (787) 230-7190

23 Calle Jose de Diego
Toa Alta, PR 00953
Phone (787) 870-0008

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1881949790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006940620",
            "telephone_number": "787-313-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 42.5",
            "address_2": "BO ALGARROBO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00694",
            "telephone_number": "787-313-8344",
            "fax_number": "787-621-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO TOSADO",
        "first_name": "JEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "4292902",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.