Individual provider Active NPI

Leyza B Nogueras-Delrio, PSY.D.

  • Clinical Psychologist
  • Florida, PR
National Provider Identifier
1427475557
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5508 Issued in PR
Practice address
HC 2 Box 7240
Florida, PR 00650-9347
Phone
(787) 549-2258
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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 5508 PR Primary

Addresses

Primary practice location

HC 2 Box 7240
Florida, PR 00650-9347

Mailing address

HC 2 Box 7240
Florida, PR 00650-9347
Phone (787) 549-2258

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
I20240612003247 PR Practitioner - Clinical Psychologist 1355883778 Practice locations: Hatillo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5508PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1427475557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 7240",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006509347",
            "telephone_number": "787-549-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 7240",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006509347",
            "telephone_number": "787-549-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGUERAS-DELRIO",
        "first_name": "LEYZA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida, PR

Sources for this page

Verify at the official NPI Registry.