Active NPI
Carol Y Irizarry-Robles, PHD
- Psychologist
- Guaynabo, PR
National Provider Identifier
1972087260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5812
- Practice address
- 36 Carr 20 Ste 301
Guaynabo, PR 00966-3332 - Phone
- (787) 800-9294
- NPI assigned
- Sep 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5812 | PR | |
| Psychologist | 103T00000X | 5812 | PR | Primary |
Addresses
Primary practice location
36 Carr 20 Ste 301
Guaynabo, PR 00966-3332
Mailing address
PO Box 19273
San Juan, PR 00910-1273
Phone (787) 450-5002
Other practice location 1
Avenida Los Dominicos #4
Urb. Miraflores
Bayamon, PR 00957
Phone (787) 450-5002
Other names 1
- Carol Irizarry Robles
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5812 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minds Mental & Behavioral Center, PSC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Guaynabo, PR
- NPI 1811377849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1972087260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19273",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009101273",
"telephone_number": "787-450-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 CARR 20 STE 301",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009663332",
"telephone_number": "787-800-9294"
}
],
"practiceLocations": [
{
"address_1": "Avenida Los Dominicos #4",
"address_2": "Urb. Miraflores",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "00957",
"country_code": "US",
"telephone_number": "787-450-5002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRIZARRY-ROBLES",
"first_name": "CAROL",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5812",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "IRIZARRY ROBLES",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.