NPIMap

Organization Active NPI

La Clinica de la Albizu San Juan

  • Psychologist
  • San Juan, PR
National Provider Identifier
1982372322
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
LA CLINICA DE LA ALBIZU SAN JUAN
Practice address
151 Calle Tanca
San Juan, PR 00902-3711
Phone
(787) 725-6500
NPI assigned
Sep 1, 2021
Organization subpart
Yes
Parent organization
UNIVERSIDAD CARLOS ALBIZUAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Dr. Maria C. Bustillo, SLPDNPI 1568887784
Title
Supervisora
Phone
(787) 725-6500

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

151 Calle Tanca
San Juan, PR 00902-3711

Mailing address

PO Box 9023711
San Juan, PR 00902-3711
Phone (787) 725-6500

National Provider Directory

National Provider Directory
Tax ID family
La Clinica de la Albizu San Juan2 organizations share this tax ID, including this one
Part of
La Clinica de la Albizu San Juan

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1982372322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9023711",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009023711",
            "telephone_number": "787-725-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CALLE TANCA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009023711",
            "telephone_number": "787-725-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA DE LA ALBIZU SAN JUAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSIDAD CARLOS ALBIZU",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "BUSTILLO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SUPERVISORA",
        "authorized_official_telephone_number": "787-725-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SLPD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 1, 2021; 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.