Active NPI
Vive Psicologia Integral LLC
- Clinical Psychologist
- Las Piedras, PR
National Provider Identifier
1043819097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- VIVE PSICOLOGIA INTEGRAL LLC
- Practice address
- Carretera 198 KM 21.7
Bo. Arenas
Las Piedras, PR 00771 - Phone
- (787) 423-3002
- NPI assigned
- Oct 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria Del Pilar Rosa, PSYD
- Title
- Clinical Psychologist
- Phone
- (787) 423-3002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
Carretera 198 KM 21.7
Bo. Arenas
Las Piedras, PR 00771
Mailing address
Urb Paseo de Los Artesanos
151 Calle Alejandro Lozada
Las Piedras, PR 00771
Phone (787) 423-3002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EV778A | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Las Piedras, PR
- NPI 1740468537
-
- Clinical Psychologist
- Las Piedras, PR
- NPI 1255846564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603238400000",
"number": "1043819097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB PASEO DE LOS ARTESANOS",
"address_2": "151 CALLE ALEJANDRO LOZADA",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "00771",
"telephone_number": "787-423-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 198 KM 21.7",
"address_2": "BO. ARENAS",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "00771",
"telephone_number": "787-423-3002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVE PSICOLOGIA INTEGRAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-16",
"status": "A",
"authorized_official_last_name": "ROSA",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "DEL PILAR",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "787-423-3002",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EV778A",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.