Carlos Albizu University

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1206 Issued in PR

Legal business name

CARLOS ALBIZU UNIVERSITY

Practice address

Calle Tanca 151 Esquina San Francisco
Viejo San Juan
San Juan, PR 00902

Phone

(787) 725-6500

Fax

(787) 721-7183

NPI assigned

Nov 2, 2012

Last updated

Nov 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nanet Marie Lopez-Cordova, PSY.D.

Title

PSYD Program Director

Phone

(787) 725-6500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1932453669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9023711",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009023711",
            "telephone_number": "787-725-6500",
            "fax_number": "787-721-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE TANCA 151 ESQUINA SAN FRANCISCO",
            "address_2": "VIEJO SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00902",
            "telephone_number": "787-725-6500",
            "fax_number": "787-721-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS ALBIZU UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-CORDOVA",
        "authorized_official_first_name": "NANET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYD PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "787-725-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose E Carlo
• Victor Luis Carlo, M.D.
• Carlos a. Falcon
• Carlos Acosta, PSC
• Carlos Albizu University
• Carlos Alcala
• Carlos E Ruiz Rodriguez MD LLC
• Carlos Gonzalez Aquino MD PSC
• Carlos J Fernandez Cruz LLC
• Carlos R Acosta Jimenez PSC

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Nov 2, 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.