Organization Active NPI

Centro Psicologico LLC

  • Clinic/Center
  • Aguadilla, PR
National Provider Identifier
1962821918
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1719 Issued in PR
Legal business name
CENTRO PSICOLOGICO LLC
Practice address
# 151 Ave. Pedro Albizu
Suite 2
Aguadilla, PR 00603
Phone
(787) 819-0992
NPI assigned
Apr 7, 2014
Last updated
Apr 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Dr. Zulma E Maisonave, PSY. DNPI 1386852853
Title
President
Phone
(787) 819-0992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1719 PR Primary

Addresses

Primary practice location

# 151 Ave. Pedro Albizu
Suite 2
Aguadilla, PR 00603

Mailing address

PO Box 4245
Aguadilla, PR 00605-4245
Phone (787) 819-0992

National Provider Directory

National Provider Directory

Locations

151 Ave Pedro Albizu Campos
#2
Aguadilla, PR 00603
Phone (787) 819-0992

Practitioners & affiliated clinicians

Practitioners 1

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": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1962821918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4245",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054245",
            "telephone_number": "787-819-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 151 AVE. PEDRO ALBIZU",
            "address_2": "SUITE 2",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-819-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PSICOLOGICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "MAISONAVE",
        "authorized_official_first_name": "ZULMA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-819-0992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "1719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.