Vilmania G. Mambru Tavarez, PSY D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2488 Issued in PR

Practice address

Urb Alturas de Rio Grande
Aa5 Calle C
Rio Grande, PR 00745-0000

Phone

(787) 887-5900

NPI assigned

Mar 7, 2006

Last updated

Aug 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Emet, LLC

  • Multi-Specialty Clinic/Center
  • Gurabo, PR
  • NPI 1912551466
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1407823651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VILLAS DE CAMBALACHE I",
            "address_2": "N15 CEDRO STREET BUZON 112",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450000",
            "telephone_number": "787-887-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ALTURAS DE RIO GRANDE",
            "address_2": "AA5 CALLE C",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450000",
            "telephone_number": "787-887-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMBRU TAVAREZ",
        "first_name": "VILMANIA",
        "middle_name": "G.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Lopez, M.D
• Pamela Anastacia Lugo Correia, TECHNICIAN
• Leopoldo R Luna, DDS
• Sandra D Maldonado-Rosario, M.D.
• Beatriz Maldonado, OTL
• Anaymi Marquez, SLP
• Maria E Marquez
• Luis Orlando Martinez-Rijos, RPHTCH
• Giselle Marie Martinez, MS, CCC-SLP
• Glenda Martinez, MD

• Psychologist in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.

Verify at the official NPI Registry.