Marielisa Maysonet-Guzman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3125 Issued in PR

Practice address

Carr. 6678 KM 2.4 Sector Villamonte
Bo Maricao
Vega Alta, PR 00692-3310

Phone

(787) 883-8616

NPI assigned

Jan 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1902178437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3310",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006923310",
            "telephone_number": "787-883-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 6678 KM 2.4 SECTOR VILLAMONTE",
            "address_2": "BO MARICAO",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006923310",
            "telephone_number": "787-883-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYSONET-GUZMAN",
        "first_name": "MARIELISA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Del Mar Martinez, SLP
• Maria Virginia Martinez, PHARMACYTECHNICIAN
• Nathaniel Martinez
• William Matos Martinez, M.D.
• Jose C. Maysonet Acevedo, DC
• MCL P.S.C.
• Mdi Health Corporation (Medtec Orthopedics)
• Medicos Selectos del Norte Inc (MSN Transport)
• Medicos Selectos del Norte Inc
• Medicplus Transport

• Clinical Psychologist in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.