Maria Cecilia Vizcarrondo, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2042 Issued in PR

Practice address

400 Bo Tortugo Apt 7
San Juan, PR 00926-9770

Phone

(787) 272-0407

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1235212283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BO TORTUGO APT 7",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269770",
            "telephone_number": "787-272-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BO TORTUGO APT 7",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269770",
            "telephone_number": "787-272-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCARRONDO",
        "first_name": "MARIA",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR DRIVER LICENCE",
            "identifier": "1798188",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Vives de Leon, PSY.D.
• Juan Ramon Vives Pagan, D.M.D.
• Miguel A Vives, MD
• Francine Vivoni, MD
• Fernando Vizcarrondo, M.D.
• Mayra Y Vizcarrondo, MD
• VM Optical LLC
• VM Rheumatology
• Vmedical Group PSC
• VMV Nefrology & Transplant Group PSC

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Mar 21, 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.

Verify at the official NPI Registry.