Individual provider Active NPI

Jeanne Marie Sisco Torres

  • School Psychologist
  • Ponce, PR, PR
National Provider Identifier
1922701416
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
7275 Issued in PR
Practice address
Urb San Antonio 2545
Calle Despedida
Ponce, PR, PR 00728-0072
Phone
(787) 629-8886
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
7275PRMDSchool Psychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 7275 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Urb San Antonio 2545
Calle Despedida
Ponce, PR, PR 00728-0072

Mailing address

Urb San Antonio 2545
Calle Despedida
Ponce, PR, PR 00728
Phone (787) 629-8886

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2023.

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1922701416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SAN ANTONIO 2545",
            "address_2": "CALLE DESPEDIDA",
            "city": "PONCE, PR",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-629-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SAN ANTONIO 2545",
            "address_2": "CALLE DESPEDIDA",
            "city": "PONCE, PR",
            "state": "PR",
            "postal_code": "007280072",
            "telephone_number": "787-629-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISCO TORRES",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "7275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.