Active NPI
Rafael Angel Riquelme-Abrams, PSY.D.
- Clinical Psychologist
- Isabela, PR
National Provider Identifier
1902046659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3291
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3291 | PR | MD | Orthodontics 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.