Clinica Psicologica Las Mirlas LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CLINICA PSICOLOGICA LAS MIRLAS LLC

Practice address

22 Calle 25 de Julio
Guanica, PR 00653-2110

Phone

(787) 673-8394

NPI assigned

Jun 13, 2019

Last updated

Oct 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gabriela Enid Luciano, PSYDNPI 1073025995

Title

Director

Phone

(787) 673-8394

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriela Enid Luciano, PSYD

  • Clinical Psychologist
  • Guanica, PR
  • NPI 1073025995
  Medicare reassignment NPD Authorized official
• Samary Feliciano, MSW

  • Clinical Social Worker
  • Caguas, PR
  • NPI 1285281915
  Medicare reassignment NPD

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1104485077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5103 PMB 171",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006235103",
            "telephone_number": "787-673-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CALLE 25 DE JULIO",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006532110",
            "telephone_number": "787-673-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA PSICOLOGICA LAS MIRLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "LUCIANO",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-673-8394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariceli Carbonell Morales
• Centro de Consultoria Medica,CSP
• Centro de Diagnostico Y Tratamiento Guanica
• Cintron Ambulance Services LLC
• Waleska Cintron Rodriguez, M.D.
• Clinica Yaguez Inc (Laboratorio Pavia Health Clinic Guanica)
• Clinica Yaguez Inc (Pavia Health Clinic Guanica)
• Clinica Yaguez, Inc (Centro Radiologico Pavia Health Clinic Guanica)
• Abdiel Josue Concepcion
• Doctor Xpress Corporation

• Clinical Psychologist in Guanica, PR
• Providers in Guanica, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.

Verify at the official NPI Registry.