Individual provider Active NPI

Lucia Ines Vazquez Arango, PSY.D

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1225064199
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1315 Issued in PR
Practice address
1413 Ave Fernandez Juncos Podiatry Center Building
Suite 3 E
San Juan, PR 00909-2649
Phone
(787) 723-3583
Fax
(787) 723-4618
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1315 PR Primary

Addresses

Primary practice location

1413 Ave Fernandez Juncos Podiatry Center Building
Suite 3 E
San Juan, PR 00909-2649

Mailing address

1095 Calle Wilson
Apt 1001
San Juan, PR 00907-1718
Phone (787) 603-8913

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
I20070720000167 PR Practitioner - Clinical Psychologist 7315048394 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1413 Podiatry Ctr Building Ave
Fernandez Juncos Oficina 3E
San Juan, PR 00909
Phone (787) 603-8913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1315PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion Past Accepting new patients

Organizations & group practices 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1225064199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 CALLE WILSON",
            "address_2": "APT 1001",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071718",
            "telephone_number": "787-603-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 AVE FERNANDEZ JUNCOS PODIATRY CENTER BUILDING",
            "address_2": "SUITE 3 E",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092649",
            "telephone_number": "787-723-3583",
            "fax_number": "787-723-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ ARANGO",
        "first_name": "LUCIA",
        "middle_name": "INES",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.