Lourdenisse Pagan Colon, MPSY

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

007043 Issued in PR

Practice address

109 Ave Jose de Diego E
Cayey, PR 00736-3822

Phone

(787) 719-0610

NPI assigned

Aug 13, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1417622101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SEC SAN JOSE",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399402",
            "telephone_number": "787-530-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 AVE JOSE DE DIEGO E",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363822",
            "telephone_number": "787-719-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Barrio Certenejas Sector San Jose Street 172",
            "address_2": "#20",
            "address_purpose": "LOCATION",
            "city": "Cidra",
            "state": "PR",
            "postal_code": "00739",
            "country_code": "US",
            "telephone_number": "787-530-4689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Calle Victor L. Rodriguez #8 Urbanizacin San Martin",
            "address_purpose": "LOCATION",
            "city": "Cayey",
            "state": "PR",
            "postal_code": "00736",
            "country_code": "US",
            "telephone_number": "787-530-4689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAN COLON",
        "first_name": "LOURDENISSE",
        "credential": "MPSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "007043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor A. Ortiz, M.D
• Lidiannie Otero de Leon
• Arnaldo Jose Otero-Vazquez, M.D.
• Eurgilia Ovalles, M.D.
• Adlin Pabon, DMD,MS
• Jeannette I Pagan, CCC-SLP
• Cheryl Paulo, D.M.D
• Aracelis Pena
• Peques Servicios de Terapias
• Janice Perdomo, MD

• Counseling Psychologist in Cayey, PR
• Providers in Cayey, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.