Idelisa Marie Lopez Malave, MS

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

7814 Issued in PR

Practice address

1327 Ave San Ignacio Apt 302
San Juan, PR 00921-3852

Phone

(787) 237-0089

NPI assigned

Dec 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Centro Psicologico Ilo SE LLC

  • Clinical Psychologist
  • Canovanas, PR
  • NPI 1427731538
  NPD (past)
• Centro Psicologico Ilo, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caguas, PR
  • NPI 1902239114
  NPD (past)

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1245046614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 AVE SAN IGNACIO APT 302",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213852",
            "telephone_number": "787-237-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 AVE SAN IGNACIO APT 302",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213852",
            "telephone_number": "787-237-0089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "D12 Calle Mis Amores",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007255821",
            "country_code": "US",
            "telephone_number": "787-930-3144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 San Vicente Mall, Sector Melania Bo Jobos,",
            "address_purpose": "LOCATION",
            "city": "Guayama",
            "state": "PR",
            "postal_code": "007846804",
            "country_code": "US",
            "telephone_number": "787-558-8718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 B C11 Josefina Legrand",
            "address_purpose": "LOCATION",
            "city": "Canovanas",
            "state": "PR",
            "postal_code": "007290000",
            "country_code": "US",
            "telephone_number": "787-903-9863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ MALAVE",
        "first_name": "IDELISA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "7814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana G Lopez Garcia
• Xavier Lopez Garib, MD
• Cindy Marie Lopez Hernandez
• Rafael A Lopez Hernandez, M.D.
• Edith M Lopez Lugo, OTR/L
• Paola Lopez Marte, MD
• Annette Y Lopez Martinez, MD
• Patricia Lopez Matos
• Adolfo Lopez Mieres, MD
• Abdiel Sebastian Lopez Morales, MD

• Counseling Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.