Active NPI
Roxanna Judith Calderon Salas
- Counseling Psychologist
- Carolina, PR
National Provider Identifier
1912590142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6624
- Practice address
- Calle 522 Bloq. 192 #38 Urb. Villa Carolina
Carolina, PR 00985 - Phone
- (787) 459-7189
- NPI assigned
- Feb 18, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6624 | PR | Primary |
Addresses
Primary practice location
Calle 522 Bloq. 192 #38 Urb. Villa Carolina
Carolina, PR 00985
Mailing address
Calle 522 Bloq. 192 #38 Urb. Villa Carolina
Carolina, PR 00985
Phone (787) 459-7189
Other practice location 1
Calle Mayaguez
San Juan, PR 00924
Phone (787) 998-1594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6624 | Other | PR | JUNTA EXAMINADORA DE PSICOLOGIA DE PR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Unknown |
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 |
|---|---|---|---|
| 6624 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1912590142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 522 BLOQ. 192 #38 URB. VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-459-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 522 BLOQ. 192 #38 URB. VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-459-7189"
}
],
"practiceLocations": [
{
"address_1": "Calle Mayaguez",
"address_purpose": "LOCATION",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"country_code": "US",
"telephone_number": "787-998-1594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDERON SALAS",
"first_name": "ROXANNA",
"middle_name": "JUDITH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "6624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JUNTA EXAMINADORA DE PSICOLOGIA DE PR",
"identifier": "6624",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Unknown",
"affiliation": "N",
"address_1": "Calle 522 Bloq. 192 #38 Urb. Villa Carolina",
"city": "Carolina",
"state": "PR",
"country_code": "US",
"postal_code": "00985",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.