NPI Code Detail JSON Logo

1306658828 NPI number — CLINICA DE SERVICIOS PSICOLOGICOS DE TRANSFORMACION INTEGRAL METAMORFOSIS PROJECT PR INC

NPI Number: 1306658828
Health Care Provider/Practitioner: CLINICA DE SERVICIOS PSICOLOGICOS DE TRANSFORMACION INTEGRAL METAMORFOSIS PROJECT PR INC

Information about “1306658828” NPI (CLINICA DE SERVICIOS PSICOLOGICOS DE TRANSFORMACION INTEGRAL METAMORFOSIS PROJECT PR INC) exists in 1306658828 in HTML format HTML  |  1306658828 in plain Text format TXT  |  1306658828 in PDF (Portable Document Format) PDF  |  1306658828 in an XML format XML  formats.

NPI Number : 1306658828 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306658828",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CLINICA DE SERVICIOS PSICOLOGICOS DE TRANSFORMACION INTEGRAL METAMORFOSIS PROJECT PR INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "65 CALLE BALDORIOTY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COAMO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00769-2412",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-614-3205",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "65 CALLE BALDORIOTY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COAMO",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00769-2412",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-614-3205",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/22/2025",
    "LastUpdateDate": "03/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ANGLADA RIVERA",
    "AuthorizedOfficialFirstName": "BRENDA",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "CLINICAL PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "787-614-3205",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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