Individual provider Active NPI

Wayca Rebeca Cespedes Gomez, MD

  • Psychiatry Physician
  • Guaynabo, PR
National Provider Identifier
1033396940
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17003 Issued in PR
Practice address
107 Ave Ortegon Ste 208
Guaynabo, PR 00966-2518
Phone
(787) 230-2199
Fax
(787) 230-2199
NPI assigned
Jan 23, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17003 PR Primary

Addresses

Primary practice location

107 Ave Ortegon Ste 208
Guaynabo, PR 00966-2518

Mailing address

PO Box 10691
San Juan, PR 00922-0691
Phone (787) 793-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17003PRMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033396940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10691",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220691",
            "telephone_number": "787-793-1550",
            "fax_number": "787-776-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 AVE ORTEGON STE 208",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662518",
            "telephone_number": "787-230-2199",
            "fax_number": "787-230-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESPEDES GOMEZ",
        "first_name": "WAYCA",
        "middle_name": "REBECA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "17003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.