Individual provider Active NPI

Bianca Vega - Sanoguet, PSYD

  • Clinical Psychologist
  • Guaynabo, PR
National Provider Identifier
1073128047
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6716 Issued in PR
Practice address
22 Calle Gonzalez Giusti Ste 206
Guaynabo, PR 00968-3011
Phone
(787) 421-6130
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 6716 PR Primary

Addresses

Primary practice location

22 Calle Gonzalez Giusti Ste 206
Guaynabo, PR 00968-3011

Mailing address

GG1 Calle Magnolia
San Juan, PR 00926-6337
Phone (787) 421-6130

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
I20201218001815 PR Practitioner - Clinical Psychologist 6103238951 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6716PRMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fundacion Gueli L3C CurrentSince Jun 8, 2025 Accepting new patients
Santa Cruz Behavioral PSC Single Specialty CurrentSince Nov 19, 2020 Accepting new patients
Sylma Batista MD PSC Single Specialty Past Accepting new patients

Locations

73 Calle Santa Cruz
Ste 405
Bayamon, PR 00961
Phone (787) 421-6130

73 Calle Santa Cruz
Ste 212
Bayamon, PR 00961
Phone (787) 798-2170

22 Calle Gonzalez Giusti
Ste 206
Guaynabo, PR 00968
Phone (787) 390-8722

Organizations & group practices 3

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1073128047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GG1 CALLE MAGNOLIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266337",
            "telephone_number": "787-421-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CALLE GONZALEZ GIUSTI STE 206",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683011",
            "telephone_number": "787-421-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA - SANOGUET",
        "first_name": "BIANCA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.