Active NPI
Raquel Llobera-Bunce, PH.D.
- Clinical Psychologist
- Hialeah Gardens, FL
National Provider Identifier
1083701791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 5635
- Practice address
- 8333 W Okechobe Rd
Hialeah Gardens, FL 33016-2109 - Phone
- (305) 556-9900
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 5635 | FL | Primary |
Addresses
Primary practice location
8333 W Okechobe Rd
Hialeah Gardens, FL 33016-2109
Mailing address
PO Box 560095
Miami, FL 33256-0095
Phone (305) 790-3932
Other practice location 1
201 Curtiss Pkwy
Miami Springs, FL 33166-5222
Phone (305) 887-1565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130214000367 | FL | Practitioner - Clinical Psychologist | 4385618081 | Practice locations: Hialeah Gardens, FL; Miami Springs, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 5635 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1083701791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 560095",
"city": "MIAMI",
"state": "FL",
"postal_code": "332560095",
"telephone_number": "305-790-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 W OKECHOBE RD",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330162109",
"telephone_number": "305-556-9900"
}
],
"practiceLocations": [
{
"address_1": "201 Curtiss Pkwy",
"address_purpose": "LOCATION",
"city": "Miami Springs",
"state": "FL",
"postal_code": "331665222",
"country_code": "US",
"telephone_number": "305-887-1565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LLOBERA-BUNCE",
"first_name": "RAQUEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 5635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.