Individual provider Active NPI

Paola Enid Vega Lebron, PHD

  • Clinical Psychologist
  • Bayamon, PR
National Provider Identifier
1417639956
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8312 Issued in PR
Practice address
Bo. Juan Sanchez Carr. No 2 KM8.2
Antiguo Hospital Mepsi Center
Bayamon, PR 00960
Phone
(787) 763-7575
NPI assigned
Aug 3, 2023
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8312 PR Primary

Addresses

Primary practice location

Bo. Juan Sanchez Carr. No 2 KM8.2
Antiguo Hospital Mepsi Center
Bayamon, PR 00960

Mailing address

115 Bo Calzada
Maunabo, PR 00707-2710
Phone (939) 248-6717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8312PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1417639956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BO CALZADA",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007072710",
            "telephone_number": "939-248-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. JUAN SANCHEZ CARR. NO 2 KM8.2",
            "address_2": "ANTIGUO HOSPITAL MEPSI CENTER",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-763-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA LEBRON",
        "first_name": "PAOLA",
        "middle_name": "ENID",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.