Individual provider Active NPI

Rafael Angel Riquelme-Abrams, PSY.D.

  • Clinical Psychologist
  • Isabela, PR
National Provider Identifier
1902046659
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3291 Issued in PR
Practice address
2993 Ave Militar
Carr #2 KM 112.6
Isabela, PR 00662-4078
Phone
(787) 399-4955
Fax
(787) 830-4060
NPI assigned
Feb 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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 3291 PR Primary

Addresses

Primary practice location

2993 Ave Militar
Carr #2 KM 112.6
Isabela, PR 00662-4078

Mailing address

PO Box 927
Carr #2 KM 112.6
Isabela, PR 00662-0927
Phone (787) 399-4955

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

State licenses

LicenseStateTypeSpecialty
3291PRMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1902046659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 927",
            "address_2": "CARR #2 KM 112.6",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620927",
            "telephone_number": "787-399-4955",
            "fax_number": "787-830-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 AVE MILITAR",
            "address_2": "CARR #2 KM 112.6",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624078",
            "telephone_number": "787-399-4955",
            "fax_number": "787-830-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIQUELME-ABRAMS",
        "first_name": "RAFAEL",
        "middle_name": "ANGEL",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.