NPIMap

Organization Active NPI

Servicios Psicologicos Vive, PSC.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1962796599
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3528 Issued in PR
Legal business name
SERVICIOS PSICOLOGICOS VIVE, PSC.
Practice address
PMB 410 de Diego Ave 89
Suite 105
San Juan, PR 00927-6370
Phone
(939) 639-7555
NPI assigned
May 31, 2011
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Maria Curbelo Serrano, PSYD
Title
President
Phone
(939) 639-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 3528 PR Primary

Addresses

Primary practice location

PMB 410 de Diego Ave 89
Suite 105
San Juan, PR 00927-6370

Mailing address

PMB 410 de Diego Ave 89
Suite 105
San Juan, PR 00927-6370
Phone (939) 639-7555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1962796599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 410 DE DIEGO AVE 89",
            "address_2": "SUITE 105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276370",
            "telephone_number": "939-639-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMB 410 DE DIEGO AVE 89",
            "address_2": "SUITE 105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276370",
            "telephone_number": "939-639-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS PSICOLOGICOS VIVE, PSC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CURBELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-639-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 21, 2011; 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.