Individual provider Active NPI

Keishla L Valdez Moret, PSY

  • Counseling Psychologist
  • Caguas, PR
National Provider Identifier
1083558142
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
8936 Issued in PR
Practice address
D12 Calle Mis Amores
Caguas, PR 00725-5821
Phone
(787) 390-3144
NPI assigned
Apr 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 8936 PR Primary

Addresses

Primary practice location

D12 Calle Mis Amores
Caguas, PR 00725-5821

Mailing address

D12 Calle Mis Amores
Caguas, PR 00725-5821
Phone (787) 930-3144

Other practice location 1

66 B C11 Josefina Legrand
Canovanas, PR 00729-0000
Phone (787) 903-9863

Other practice location 2

14 San Vicente Mall, Sector Melania Bo Jobos,
Guayama, PR 00784-6804
Phone (787) 558-8718

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: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Cond Paseo Degetau
Apt 2906
Caguas, PR 00725-2930

D12 Calle Mis Amores
Caguas, PR 00725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Psicologico Ilo, Inc. Single Specialty PastSince Feb 4, 2015 Accepting new patients
Centro Psicologico Ilo SE LLC Single Specialty PastSince Aug 13, 2023 Accepting new patients

Organizations & group practices 2

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": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1083558142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D12 CALLE MIS AMORES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255821",
            "telephone_number": "787-930-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D12 CALLE MIS AMORES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255821",
            "telephone_number": "787-390-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 B C11 Josefina Legrand",
            "address_purpose": "LOCATION",
            "city": "Canovanas",
            "state": "PR",
            "postal_code": "007290000",
            "country_code": "US",
            "telephone_number": "787-903-9863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 San Vicente Mall, Sector Melania Bo Jobos,",
            "address_purpose": "LOCATION",
            "city": "Guayama",
            "state": "PR",
            "postal_code": "007846804",
            "country_code": "US",
            "telephone_number": "787-558-8718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ MORET",
        "first_name": "KEISHLA",
        "middle_name": "L",
        "credential": "PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "8936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.