Active NPI
Lizaida Lopez, PSY.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1003826637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1909
- Practice address
- 1994 Ave Emiliano Pol
La Alameda
San Juan, PR 00926-5502 - Phone
- (787) 510-6084
- NPI assigned
- Aug 8, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1909 | PR | Primary |
Addresses
Primary practice location
1994 Ave Emiliano Pol
La Alameda
San Juan, PR 00926-5502
Mailing address
1979 Calle Sauco
San Ramn
Guaynabo, PR 00969-3938
Phone (787) 510-6084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1909 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003826637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1979 CALLE SAUCO",
"address_2": "SAN RAMN",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693938",
"telephone_number": "787-510-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1994 AVE EMILIANO POL",
"address_2": "LA ALAMEDA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265502",
"telephone_number": "787-510-6084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LIZAIDA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.