Individual provider Active NPI

Maria de Lourdes Lopez-Alers, PH.D

  • Clinical Psychologist
  • Mayaguez, PR
National Provider Identifier
1295287209
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5682 Issued in PR
Practice address
2625 PR 2
Suite 2
Mayaguez, PR 00680
Phone
(939) 339-1353
NPI assigned
Oct 26, 2016
Last updated
Jun 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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 5682 PR Primary

Addresses

Primary practice location

2625 PR 2
Suite 2
Mayaguez, PR 00680

Mailing address

113 Urb Montemar
Aguada, PR 00602-3034
Phone (939) 339-1353

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
I20200417000147 PR Practitioner - Clinical Psychologist 3274963111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Carr 119 KM
0 Bo Piedras Blancas
San Sebastian, PR 00685-0000
Phone (787) 896-1665

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5682PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Dec 28, 2019 Accepting new patients
Migrant Health Center Western Region,Inc CurrentSince Dec 28, 2019 Accepting new patients
Migrant Health Center Western Region Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1295287209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 URB MONTEMAR",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023034",
            "telephone_number": "939-339-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 PR 2",
            "address_2": "SUITE 2",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "939-339-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-ALERS",
        "first_name": "MARIA DE LOURDES",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.