Individual provider Active NPI

Keishla Yamiliz Hernandez-Vargas

  • Counseling Psychologist
  • Bayamon, PR
National Provider Identifier
1336982560
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
007961 Issued in PR
Practice address
BB28 Ave Santa Juanita
Bayamon, PR 00956-4633
Phone
(787) 451-3914
NPI assigned
Jun 15, 2024
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 007961 PR
Counseling Psychologist 103TC1900X 007961 PR Primary

Addresses

Primary practice location

BB28 Ave Santa Juanita
Bayamon, PR 00956-4633

Mailing address

T13 Calle Padre Mariano
Bayamon, PR 00959-4812
Phone (787) 451-3914

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

State licenses

LicenseStateTypeSpecialty
007961PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1336982560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "T13 CALLE PADRE MARIANO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009594812",
            "telephone_number": "787-451-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BB28 AVE SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564633",
            "telephone_number": "787-451-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-VARGAS",
        "first_name": "KEISHLA",
        "middle_name": "YAMILIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "007961",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "007961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.