Individual provider Active NPI

Erika Viera Fonseca, PSY.D

  • Clinical Psychologist
  • Vega Alta, PR
National Provider Identifier
1003347634
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5893 Issued in PR
Practice address
Edificio Brisas del Mar #1
Carr 693 KM 13.8
Vega Alta, PR 00692-9858
Phone
(787) 270-1420
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5893 PR Primary

Addresses

Primary practice location

Edificio Brisas del Mar #1
Carr 693 KM 13.8
Vega Alta, PR 00692-9858

Mailing address

PO Box 1496
Dorado, PR 00646-1496
Phone (872) 701-4207

Other practice location 1

Carr 152 KM 14.6
Cedro Abajo Mercado Plaza
Naranjito, PR 00719-3013
Phone (787) 641-9133

Other identifiers 2

IdentifierTypeStateIssuer
38600501MedicaidPR
38600502MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210702001226 PR Practitioner - Clinical Psychologist 6103227764 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005893PRMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Psiquiatrica Y Psicologica Felicita Ramos Clinical CurrentSince Jun 21, 2021 Accepting new patients
Aps Clinics of Puerto Rico, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1003347634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1496",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006461496",
            "telephone_number": "872-701-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO BRISAS DEL MAR #1",
            "address_2": "CARR 693 KM 13.8",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929858",
            "telephone_number": "787-270-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 152 KM 14.6",
            "address_2": "CEDRO ABAJO MERCADO PLAZA",
            "address_purpose": "LOCATION",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193013",
            "country_code": "US",
            "telephone_number": "787-641-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIERA FONSECA",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38600501",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38600502",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.