Legna Jennis Otero Villafane I, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3274 Issued in PR

Practice address

Urb. Praderas de Navarro
C 22 T8
Gurabo, PR 00778

Phone

(787) 595-9682

Fax

(787) 687-5745

NPI assigned

Feb 23, 2009

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)

Enrolled

State licenses

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1245470897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371029",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007371029",
            "telephone_number": "787-595-9682",
            "fax_number": "787-687-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. PRADERAS DE NAVARRO",
            "address_2": "C 22 T8",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-595-9682",
            "fax_number": "787-687-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO VILLAFANE",
        "first_name": "LEGNA",
        "middle_name": "JENNIS",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthodontic Care
• Kathiane Ortiz Gonzalez, PHARMACY TECHNITIAN
• Ana Yaris Ortiz-Merino, MS
• Nestor R Ortiz
• Yared Otero Lopez
• Tania Marie Oyola Rosario, M. D.
• Amarilis Padilla Lugo, MD
• Nattasha I Padilla Nevarez
• Eunice Marie Padilla
• Sylvia Paez, M.D.

• Clinical Psychologist in Gurabo, PR
• Providers in Gurabo, 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 Apr 12, 2017; 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.