Mirelsa Enid Nunez Caballero, PSY. D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2131 Issued in PR

Practice address

1608 Calle Bori
San Juan, PR 00927-6100

Phone

(787) 761-6996

NPI assigned

Jun 13, 2007

Last updated

Apr 4, 2023By 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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1952505927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 CALLE BORI, SUITE 211",
            "address_2": "URB. BELISA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276116",
            "telephone_number": "787-761-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 CALLE BORI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276100",
            "telephone_number": "787-761-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ CABALLERO",
        "first_name": "MIRELSA",
        "middle_name": "ENID",
        "name_prefix": "Mrs.",
        "credential": "PSY. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-04-04",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nshape
• Nuclear Cardiology Imaging
• Nuclear Imaging & Medicine PR LLC
• Nueva Vida de la Salud II
• Sergio Gabriel Nunez Baez
• Sylvia Monserrate Nunez Fidalgo
• Lourdes Lymarie Nunez Gonzalez, DMD
• Hector Jose Nunez Medina, MD
• Cristina Maria Nunez Morales, MD
• Paola Marie Nunez Ramirez

• 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 Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.