Active NPI
Yaritza Torres Lopez, PHD
- Clinical Psychologist
- Aguadilla, PR
National Provider Identifier
1376893735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6002
- Practice address
- Hospital Buen Samaritano
Carr 2 KM 141 H 1 Oficina G 44
Aguadilla, PR 00603 - Phone
- (939) 339-6088
- NPI assigned
- Sep 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 6002 | PR | |
| Health Psychologist | 103TH0004X | 6002 | PR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 6002 | PR | Primary |
Addresses
Primary practice location
Hospital Buen Samaritano
Carr 2 KM 141 H 1 Oficina G 44
Aguadilla, PR 00603
Mailing address
HC 61
Box 5385
Aguada, PR 00602
Phone (787) 669-9014
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 |
|---|---|---|---|---|
| I20220131001663 | PR | Practitioner - Clinical Psychologist | 5991198731 | Practice locations: Aguadilla, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6002 | PR | MD | Clinical Psychologist |
| 006002 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1376893735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 61",
"address_2": "BOX 5385",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-669-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL BUEN SAMARITANO",
"address_2": "CARR 2 KM 141 H 1 OFICINA G 44",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "939-339-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES LOPEZ",
"first_name": "YARITZA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2022-01-17",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "PR",
"license": "6002",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "PR",
"license": "6002",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.