Active NPI
Carmen Ivette Lopez, DOCTORATE
- Family Psychologist
- Caguas, PR
National Provider Identifier
1265203152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- Practice address
- Street H P-11
Urb. Golden Gate
Caguas, PR 00782 - Phone
- (787) 638-8478
- NPI assigned
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Health Service Psychologist | 103TH0100X | |||
| Family Psychologist | 103TF0000X | Primary |
Addresses
Primary practice location
Street H P-11
Urb. Golden Gate
Caguas, PR 00782
Mailing address
Street H P-11
Urb. Golden Gate
Caguas, PR 00782
Phone (787) 638-8478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1265203152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STREET H P-11",
"address_2": "URB. GOLDEN GATE",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00782",
"telephone_number": "787-638-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STREET H P-11",
"address_2": "URB. GOLDEN GATE",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00782",
"telephone_number": "787-638-8478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CARMEN",
"middle_name": "IVETTE",
"credential": "DOCTORATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.