Individual provider Active NPI

Esmeralda Castillo Veliz, PSY.D

  • Clinical Psychologist
  • Rio Piedras, PR
National Provider Identifier
1427134899
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2166 Issued in PR
Practice address
359 Calle San Claudio
Oficina 206, Cupey Professional Mall
Rio Piedras, PR 00926-9907
Phone
(787) 760-7064
NPI assigned
Oct 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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 2166 PR Primary

Addresses

Primary practice location

359 Calle San Claudio
Oficina 206, Cupey Professional Mall
Rio Piedras, PR 00926-9907

Mailing address

DM16 Calle Colinas
Valle Verde 3
Bayamon, PR 00961-3355
Phone (787) 210-7151

Other identifiers 4

IdentifierTypeStateIssuer
2845OtherPRAPS
542478OtherPRFHC HEALTH SYSTEMS
219039OtherPRPREFERRED HEALTH
57256CAOtherPRTRIPLE S

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707000102 PR Practitioner - Clinical Psychologist 1052589603 Practice locations: Rio Piedras, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Sector Centro Medico 150 Barrio Monac
Rio Piedras, PR 00936-0001
Phone 78776341491561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
G3A Gastroenterology LLC PastSince Jan 3, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1427134899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DM16 CALLE COLINAS",
            "address_2": "VALLE VERDE 3",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613355",
            "telephone_number": "787-210-7151",
            "fax_number": "787-760-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 CALLE SAN CLAUDIO",
            "address_2": "OFICINA 206, CUPEY PROFESSIONAL MALL",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009269907",
            "telephone_number": "787-760-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO VELIZ",
        "first_name": "ESMERALDA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "2845",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHC HEALTH SYSTEMS",
            "identifier": "542478",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "219039",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "57256CA",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.