Nattasha I Padilla Nevarez

Primary specialty

PsychologistTaxonomy code 103T00000X

License

8002 Issued in PR

Practice address

Urb. Vistalago
56 Calle Lago Carraizo
Gurabo, PR 00778

Phone

(787) 436-4892

NPI assigned

Oct 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1083255475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 44 BOX 12540",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369702",
            "telephone_number": "787-641-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VISTALAGO",
            "address_2": "56 CALLE LAGO CARRAIZO",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-436-4892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Doctor Goyco Esquina",
            "address_2": "Acosta Local 202",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007259998",
            "country_code": "US",
            "telephone_number": "787-638-5386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA NEVAREZ",
        "first_name": "NATTASHA",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "8002",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nestor R Ortiz
• Yared Otero Lopez
• Legna Jennis Otero Villafane I, PSY.D
• Tania Marie Oyola Rosario, M. D.
• Amarilis Padilla Lugo, MD
• Eunice Marie Padilla
• Sylvia Paez, M.D.
• Ketsy Pagan Mercado, MD
• Ashley Ann Pagan Reyes
• Pancho Blu LLC Dba Farmacias Aliadas Gurabo

• Psychologist in Gurabo, PR
• Providers in Gurabo, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.