Adalis Lugo Colon, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6231 Issued in PR

Practice address

405 Ave Esmeralda
Suite 2
Guaynabo, PR 00969

Phone

(787) 539-4123

NPI assigned

Feb 11, 2019

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A&R Behavioral Associates PSC

  • Psychiatry Physician
  • Ponce, PR
  • NPI 1235287590

  Single Specialty

  Medicare reassignment NPD
• Integral Healthcare Services LLC

  • Multi-Specialty Clinic/Center
  • Toa Baja, PR
  • NPI 1548639206

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1265997696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EL VENTURA",
            "address_2": "4923 EXT PUNTO ORO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-677-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 AVE ESMERALDA",
            "address_2": "SUITE 2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-539-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO COLON",
        "first_name": "ADALIS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Eugenia Lozada, MD
• Orlando Lozano Miranda, 0871P
• LP Interventional, LLC
• LQS Chropractic LLC
• LS Id Specialty PSC
• Edser Lugo Ferrer, 0970P
• Angel Lugo Lugo, 0237B
• Mariangie Lugo Montalvo, PHD
• Aida E Lugo Vega, 1480B
• Alvin Lugo, DMD

• Clinical Psychologist in Guaynabo, PR
• Providers in Guaynabo, 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 Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.