Active NPI
Mariam Aleida Viguie, PSYD
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1891238978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5742
- Practice address
- 1801 Ave Ponce de Leon Suite 411
Santurce Medical Mall
San Juan, PR 00907 - Phone
- (787) 903-4436
- NPI assigned
- Nov 22, 2016
- Last updated
- Nov 22, 2016
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5742 | PR | Primary |
Addresses
Primary practice location
1801 Ave Ponce de Leon Suite 411
Santurce Medical Mall
San Juan, PR 00907
Mailing address
525 Carr 8860
Chalets Sevillanos Apt 2455
Trujillo Alto, PR 00976
Phone (787) 903-4436
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5742 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1891238978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 CARR 8860",
"address_2": "CHALETS SEVILLANOS APT 2455",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-903-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 AVE PONCE DE LEON SUITE 411",
"address_2": "SANTURCE MEDICAL MALL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-903-4436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGUIE",
"first_name": "MARIAM",
"middle_name": "ALEIDA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-22",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.