Mr. Demetrio J Madera, PSYD
Psychologist, Clinical in Ponce, Puerto Rico
1538441308- Practice location
- 1010 Paseo Del Veterano, Ponce, PR 00716-2001
- Phone
- 787-641-7582
- Fax
- —
- Last updated
- March 2, 2017
Demetrio J. Madera is a Psychologist, Clinical based in Ponce, PR. Demetrio J. Madera practices in Ponce, PR and has the professional credentials of PSYD. The NPI Number for Demetrio J. Madera is 1538441308 and holds a License No. 004574 (PR). The current practice location address for Demetrio J. Madera is 1010 Paseo Del Veterano, Ponce, PR 00716-2001 and can be reached out via phone at 787-641-7582.
Provider Profile Details
- NPI Number
- 1538441308
- Provider Name
- Demetrio J. Madera
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1010 Paseo Del Veterano, Ponce, PR 00716-2001
- Phone Number
- 787-641-7582
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 16, 2011
- Last Update Date
- March 2, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1010 Paseo Del Veterano
Ponce, PR 00716-2001 - City
- Ponce
- State
- Puerto Rico
- Zip
- 00716-2001
- Phone Number
- 787-641-7582
Provider Business Mailing Address Details
- Address
- 2150 Ponce Byp # Ponce
Paseo Del Veterano 1010
Ponce, PR 00716-0300 - City
- Ponce
- State
- PR
- Zip
- 00716-0300
- Phone Number
- 787-641-7582
License Information
- License Number
- 004574
- License State
- PR
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Demetrio J Madera, PSYD?
The NPI number of Mr. Demetrio J Madera, PSYD is 1538441308. It was assigned on September 16, 2011 and is currently active in the NPPES registry.
What is the specialty of Mr. Demetrio J Madera, PSYD?
Mr. Demetrio J Madera, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 004574.
Where does Mr. Demetrio J Madera, PSYD practice?
The practice location is 1010 Paseo Del Veterano, Ponce, PR 00716-2001. The office can be reached at 787-641-7582 (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 1538441308 directly on the NPPES registry website.