Ruth Mileidy Pagan Custodio

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4532 Issued in PR

Practice address

51 Calle Las Flores
Catano, PR 00962-4746

Phone

(787) 944-9626

NPI assigned

Aug 6, 2024

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1942030887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "Y4 CALLE 22",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009626410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CALLE LAS FLORES",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009624746",
            "telephone_number": "787-944-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN CUSTODIO",
        "first_name": "RUTH",
        "middle_name": "MILEIDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PR",
            "license": "4532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilsa Ivette Sanchez Shumate/Laboratorio Clinico Modelo (Laboratorio Clinico Modelo)
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• Mercedes Del Carmen Ortiz Vega, MTS
• Jose Ramon Ortiz
• Mabel Osorio Castro
• Yaritza Pantojas
• Monica Perez Mirabal, PSY.D
• Miriam T Perez Pabon, DR
• Clarissa Pizarro, R.P.H.
• Graciela Plaud, BSN

• Mental Health Counselor in Catano, PR
• Providers in Catano, PR by specialty
• Mental Health Counselor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.