Yaritza Vega Sepulveda

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

5615 Issued in PR

Practice address

445 Gonzalez Clement Ave
Carr 104 KM 5.4 Bo Guanajibo Suite 215
Mayaguez, PR 00680

Phone

(939) 344-6840

NPI assigned

Mar 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1235833351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 GONZALEZ CLEMENT AVE",
            "address_2": "CARR 104 KM 5.4 BO GUANAJIBO SUITE 215",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "939-344-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 GONZALEZ CLEMENT AVE",
            "address_2": "CARR 104 KM 5.4 BO GUANAJIBO SUITE 215",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "939-344-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA SEPULVEDA",
        "first_name": "YARITZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "5615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizmary Vazquez, M.D.
• Maribel Vazquez, NURSE
• Nerialis Vazquez, LCDA
• Rebeca Enid Vazquez, PULMONOLOGIST, MD
• Carlos Abner Vega Perez
• Aurea M Vega, M.A.
• Ricardo Vega, MD
• Samary Vega, OTR
• Silvia Vega, PSY.D.
• Yalice Zivette Vega, MSW

• Clinical Child & Adolescent Psychologist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Clinical Child & Adolescent Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.