Active NPI
Militza Lopez Feliciano, PSYCHOLOGIST
- Counseling Psychologist
- San Sebastian, PR
National Provider Identifier
1356821185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 005363
- Practice address
- 4160 Ave Arcadio Estrada Ste 209
San Sebastian, PR 00685-3211 - Phone
- (787) 908-0908
- NPI assigned
- Aug 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 005363 | PR | Primary |
Addresses
Primary practice location
4160 Ave Arcadio Estrada Ste 209
San Sebastian, PR 00685-3211
Mailing address
HC 1 Box 11663
San Sebastian, PR 00685-6473
Phone (787) 908-0908
Other names 1
- Militza Lopez Feliciano
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230616003377 | PR | Practitioner - Clinical Psychologist | 0941536650 | Practice locations: Aguadilla, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005363 | PR | MD | Counseling Psychologist |
| 5363 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shapes PR LLC | Current | Accepting new patients |
Locations
4160 Ave Arcadio Estrada
Ste 209
San Sebastian, PR 00685
Phone (787) 908-0908
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.
-
- Occupational Therapist
- San Sebastian, PR
- NPI 1750914008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1356821185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 11663",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006856473",
"telephone_number": "787-908-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 AVE ARCADIO ESTRADA STE 209",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006853211",
"telephone_number": "787-908-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ FELICIANO",
"first_name": "MILITZA",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "005363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MILITZA",
"last_name": "LOPEZ FELICIANO",
"credential": "PSYCHOLOGIST",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.