Otto A Berdiel, MS
Psychologist, Clinical in San Juan, Puerto Rico
1629952478- Practice location
- 1801 Ave Ponce De Leon Ste 411, San Juan, PR 00909-1917
- Phone
- 787-509-6100
- Fax
- 787-292-0521
- Last updated
- August 4, 2025
Otto Agustin Berdiel is a Psychologist, Clinical based in San Juan, PR. Otto Agustin Berdiel practices in San Juan, PR and has the professional credentials of MS. The NPI Number for Otto Agustin Berdiel is 1629952478 and holds a License No. 831 (PR). The current practice location address for Otto Agustin Berdiel is 1801 Ave Ponce De Leon Ste 411, San Juan, PR 00909-1917 and can be reached out via phone at 787-509-6100 and via fax at 787-292-0521.
Provider Profile Details
- NPI Number
- 1629952478
- Provider Name
- Otto Agustin Berdiel
- Credential
- MS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1801 Ave Ponce De Leon Ste 411, San Juan, PR 00909-1917
- Phone Number
- 787-509-6100
- Fax Number
- 787-292-0521
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 4, 2025
- Last Update Date
- August 4, 2025
- Certification Date
- August 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1801 Ave Ponce De Leon Ste 411
San Juan, PR 00909-1917 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00909-1917
- Phone Number
- 787-509-6100
- Fax Number
- 787-292-0521
Provider Business Mailing Address Details
- Address
- 70 Via Roma
Trujillo Alto, PR 00976-6105 - City
- Trujillo Alto
- State
- PR
- Zip
- 00976-6105
- Phone Number
- 787-509-6100
- Fax Number
- 787-292-0521
License Information
- License Number
- 831
- 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 Otto A Berdiel, MS?
The NPI number of Otto A Berdiel, MS is 1629952478. It was assigned on August 4, 2025 and is currently active in the NPPES registry.
What is the specialty of Otto A Berdiel, MS?
Otto A Berdiel, MS is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 831.
Where does Otto A Berdiel, MS practice?
The practice location is 1801 Ave Ponce De Leon Ste 411, San Juan, PR 00909-1917. The office can be reached at 787-509-6100 (phone) or 787-292-0521 (fax).
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 1629952478 directly on the NPPES registry website.