Mari D Padilla Mimoso

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

003614 Issued in PR

Practice address

68 Calle Aquamarina
Caguas, PR 00725-1908

Phone

(787) 469-7976

NPI assigned

Mar 26, 2019

Last updated

Mar 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1902367691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GRAND BLVD LOS PRADOS APT 85",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273504",
            "telephone_number": "787-469-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE AQUAMARINA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251908",
            "telephone_number": "787-469-7976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Calle Aquamarina",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007251908",
            "country_code": "US",
            "telephone_number": "787-744-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA MIMOSO",
        "first_name": "MARI",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "003614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana Enid Pacheco Torres
• Raysa R Pacheco, M.D.
• Adalis Marie Padilla Alicea, SLP
• Viviana Padilla Badillo, M.D.
• Christine Nalani Padilla Maldonado
• Sarah Sofia Padilla Vargas
• Doris Padilla-Longo, MD
• Katherine Marie Padilla-Rodriguez, M.D.
• Gustavo R Padron Rodriguez, PH.D.
• Frances Pagan Cruz, RDN

• Counseling Psychologist in Caguas, PR
• Providers in Caguas, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.