Individual provider Active NPI

Hildaly Campos Laracuente

  • School Psychologist
  • Ciales, PR
National Provider Identifier
1972394856
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
5400 Issued in PR
Practice address
6 Calle Jose de Diego
Ciales, PR 00638-3214
Phone
(787) 871-2211
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5400 PR
School Psychologist 103TS0200X 5400 PR Primary

Addresses

Primary practice location

6 Calle Jose de Diego
Ciales, PR 00638-3214

Mailing address

6 Calle Jose de Diego
Ciales, PR 00638-3214
Phone (787) 871-2211

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

State licenses

LicenseStateTypeSpecialty
5400PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Imec, Inc. School CurrentSince May 18, 2025 Accepting new patients

Locations

6 Calle Jose de Diego
Ciales, PR 00638
Phone (787) 466-6670

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.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1972394856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CALLE JOSE DE DIEGO",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383214",
            "telephone_number": "787-871-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE JOSE DE DIEGO",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383214",
            "telephone_number": "787-871-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS LARACUENTE",
        "first_name": "HILDALY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5400",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "5400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ciales, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.