Individual provider Active NPI

Nyrma Y Ortiz-Vargas

  • Clinical Psychologist
  • Trujillo Alto, PR
National Provider Identifier
1295069250
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3276 Issued in PR
Practice address
370 Calle 10 Apt 79
Trujillo Alto, PR 00976-7817
Phone
(787) 908-2210
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3276 PR Primary

Addresses

Primary practice location

370 Calle 10 Apt 79
Trujillo Alto, PR 00976-7817

Mailing address

370 Calle 10 Apt 79
Trujillo Alto, PR 00976-7817
Phone (787) 908-2210

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
I20100817001571 PR Practitioner - Clinical Psychologist 0547394181 Reassigns benefits to 1 organization
Practice locations: Trujillo Alto, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

370 Calle
10 Apt 79
Trujillo Alto, PR 00976-7817

Calle Janele
D15 Urb. Andrea'S Court
Trujillo Alto, PR 00976-7817
Phone (787) 908-2210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3276PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Nyortiz, LLC Clinical CurrentSince Jul 6, 2024 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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1295069250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CALLE 10 APT 79",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009767817",
            "telephone_number": "787-908-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CALLE 10 APT 79",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009767817",
            "telephone_number": "787-908-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-VARGAS",
        "first_name": "NYRMA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.