Active NPI
Grecia Noelia Mirabal
- Clinical Psychologist
- Lares, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8324
- Practice address
- Carr. 129 KM. 31.3, Bo. Buenos Aires
Lares, PR 00669 - Phone
- (787) 249-0593
- NPI assigned
- Apr 1, 2025
- Last updated
- Aug 15, 2025
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8324 | PR | Primary |
Addresses
Primary practice location
Carr. 129 KM. 31.3, Bo. Buenos Aires
Lares, PR 00669
Mailing address
606 Calle Aragon
San Juan, PR 00920-5315
Phone (787) 470-9858
Other practice location 1
16 Calle Ana Lens De Susoni
Arecibo, PR 00612-4301
Phone (787) 879-1962
Other practice location 2
5 Calle Ramon de Jesus Sierra
Lares, PR 00669
Phone (787) 897-7566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
606 Calle Aragon
San Juan, PR 00920
Carr 129 KM 31
Lares, PR 00669
PO Box
Arecibo, PR 00613
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8324 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psicologia Integral Clinica Forense Dra. Norma Gomez Soto CSP | Clinical | Current | Accepting new patients |
Locations
16 Calle Ana Lens de Susoni
Arecibo, PR 00612
Phone (787) 879-1962
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Arecibo, PR
- NPI 1821458449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1386448470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 CALLE ARAGON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009205315",
"telephone_number": "787-470-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 129 KM. 31.3, BO. BUENOS AIRES",
"city": "LARES",
"state": "PR",
"postal_code": "00669",
"telephone_number": "787-249-0593"
}
],
"practiceLocations": [
{
"address_1": "16 Calle Ana Lens De Susoni",
"address_purpose": "LOCATION",
"city": "Arecibo",
"state": "PR",
"postal_code": "006124301",
"country_code": "US",
"telephone_number": "787-879-1962",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 Calle Ramon de Jesus Sierra",
"address_purpose": "LOCATION",
"city": "Lares",
"state": "PR",
"postal_code": "00669",
"country_code": "US",
"telephone_number": "787-897-7566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRABAL",
"first_name": "GRECIA",
"middle_name": "NOELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-01",
"last_updated": "2025-08-15",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "8324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lares, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.