Individual provider Active NPI

Yolanda Acevedo Cortes, PHD

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1952521254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1107 Issued in PR
Practice address
414 Ave Barbosa
Ave. Barbosa 414, Tercer Piso
San Juan, PR 00917-4306
Phone
(787) 282-7618
Fax
(787) 759-6686
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1107 PR Primary

Addresses

Primary practice location

414 Ave Barbosa
Ave. Barbosa 414, Tercer Piso
San Juan, PR 00917-4306

Mailing address

Hamaca F-6, Brisas de Montecasinos, Toa Alta,PR
#605, Brisas de Montecasinos
Toa Alta, PR 00953
Phone (787) 251-3477

Other names 1

  • Dr. Yolanda Acevedo Cortes Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1107PRMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952521254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HAMACA F-6, BRISAS DE MONTECASINOS, TOA ALTA,PR",
            "address_2": "#605, BRISAS DE MONTECASINOS",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-251-3477",
            "fax_number": "787-759-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 AVE BARBOSA",
            "address_2": "AVE. BARBOSA 414, TERCER PISO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009174306",
            "telephone_number": "787-282-7618",
            "fax_number": "787-759-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES",
        "first_name": "YOLANDA",
        "middle_name": "ACEVEDO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "CORTES",
            "middle_name": "ACEVEDO",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.