Individual provider Active NPI

Luis E. Veglio, PSY. D.

  • Psychologist
  • Caguas, PR
National Provider Identifier
1245201946
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01615 Issued in PR
Practice address
C9 Ave Luis Munoz Marin
Caguas, PR 00725-3330
Phone
(787) 485-1583
Fax
(787) 946-1416
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 01615 PR Primary

Addresses

Primary practice location

C9 Ave Luis Munoz Marin
Caguas, PR 00725-3330

Mailing address

PO Box 1316
Saint Just, PR 00978-1316
Phone (787) 309-7064

Other practice location 1

A8 Ave Degetau
Bonneville Terrace
Caguas, PR 00725
Phone (787) 258-5697

Other identifiers 3

IdentifierTypeStateIssuer
549688OtherPRFHC HEALTH SERVICES
M000566OtherPRMENONITA HEALTH SERVICE
2968OtherPRHUMANA HEALTH PROVIDER

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
I20120705000021 PR Practitioner - Clinical Psychologist 8325203987 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01615PRMDPsychologist
1615PRMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Holistico Bienestar Mental PastSince Apr 17, 2022 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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1245201946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "SAINT JUST",
            "state": "PR",
            "postal_code": "009781316",
            "telephone_number": "787-309-7064",
            "fax_number": "787-946-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C9 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253330",
            "telephone_number": "787-485-1583",
            "fax_number": "787-946-1416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "A8 AVE DEGETAU",
            "address_2": "BONNEVILLE TERRACE",
            "address_purpose": "LOCATION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-258-5697",
            "fax_number": "787-258-5697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGLIO",
        "first_name": "LUIS",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "01615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHC HEALTH SERVICES",
            "identifier": "549688",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENONITA HEALTH SERVICE",
            "identifier": "M000566",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PROVIDER",
            "identifier": "2968",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.