Esther Odemaries Costa

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3210 Issued in PR

Practice address

549 Calle del Mar
Galeria Norte Suite 301
Hatillo, PR 00659

Phone

(787) 878-1471

Fax

(787) 880-4555

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Juan Capestrano Hospital, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hatillo, PR
  • NPI 1669673885
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2018.

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1922581206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARRETERA 877 KM 1.6 CAMINO LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-625-2900",
            "fax_number": "787-760-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 CALLE DEL MAR",
            "address_2": "GALERIA NORTE SUITE 301",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-878-1471",
            "fax_number": "787-880-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "ESTHER",
        "middle_name": "ODEMARIES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sujehil Milagros Cordero
• Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo
• Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo
• Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo
• Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo
• Ana Margarita Cruz Andujar, PSICOLOGIA CLINICA
• Alexandra Cruz, DMD
• Annette Cruz
• Laurangelica Cruz, PSYD
• Luis A. Cruz, RPH.

• All providers in Hatillo, PR
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.