Active NPIIndividual providerSole proprietor

Ileana Domenech-De La Rosa, PSYD

Psychologist in San Juan, Puerto Rico

NPI Number1205319498
Practice location
Condominio Parque Centro, Apt L15, San Juan, PR 00918
Fax
—
Last updated
September 13, 2018

Ileana Domenech-De La Rosa is a Psychologist based in San Juan, PR. Ileana Domenech-De La Rosa practices in San Juan, PR and has the professional credentials of PSYD. The NPI Number for Ileana Domenech-De La Rosa is 1205319498 and holds a License No. 5919 (PR). The current practice location address for Ileana Domenech-De La Rosa is Condominio Parque Centro, Apt L15, San Juan, PR 00918 and can be reached out via phone at 787-688-4664.

Provider Profile Details

NPI Number
1205319498
Provider Name
Ileana Domenech-De La Rosa
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
Condominio Parque Centro, Apt L15, San Juan, PR 00918
Phone Number
787-688-4664
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Other Names
Dr. Ileana Domenech-De La Rosa (Professional Name)
Provider Enumeration Date
September 13, 2018
Last Update Date
September 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
Condominio Parque Centro
Apt L15
San Juan, PR 00918
Zip
00918
Phone Number
787-688-4664
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
Po Box 190100
San Juan, PR 00919-0100
City
San Juan
State
PR
Zip
00919-0100
Phone Number
787-688-4664

License Information

License Number
5919
License State
PR
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ileana Domenech-De La Rosa, PSYD?

The NPI number of Ileana Domenech-De La Rosa, PSYD is 1205319498. It was assigned on September 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Ileana Domenech-De La Rosa, PSYD?

Ileana Domenech-De La Rosa, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in PR under license number 5919.

Where does Ileana Domenech-De La Rosa, PSYD practice?

The practice location is Condominio Parque Centro, Apt L15, San Juan, PR 00918. The office can be reached at 787-688-4664 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205319498 directly on the NPPES registry website.

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