Individual provider Active NPI

Zaida E Mangual, MS

  • Psychologist
  • San Juan, PR
National Provider Identifier
1982978755
Registry record updated Feb 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3778 Issued in PR
Practice address
RR 6 Box 4065
San Juan, PR 00926-9449
Phone
(787) 420-1109
NPI assigned
Feb 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3778 PR Primary

Addresses

Primary practice location

RR 6 Box 4065
San Juan, PR 00926-9449

Mailing address

RR 6 Box 4065
San Juan, PR 00926-9449
Phone (787) 420-1109

Other names 1

  • Ms. Zaida E Mangual Professional name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
3778PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1330214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330214400000",
    "number": "1982978755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 4065",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269449",
            "telephone_number": "787-420-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 4065",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269449",
            "telephone_number": "787-420-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUAL",
        "first_name": "ZAIDA",
        "middle_name": "E",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-26",
        "last_updated": "2012-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAIDA",
            "last_name": "MANGUAL",
            "middle_name": "E",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Feb 26, 2012; 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.