Laura Bisbal Vicens, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6024 Issued in PR

Practice address

1416 Ave Paz Granela
San Juan, PR 00921-4271

Phone

(787) 462-9860

NPI assigned

Jun 22, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1447745484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB BORINQUEN GARDENS",
            "address_2": "BB2 CALLE AZALEA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-204-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 AVE PAZ GRANELA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214271",
            "telephone_number": "787-462-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISBAL VICENS",
        "first_name": "LAURA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina M Bird Collado, M.D.
• Hector R Bird, M.D.
• Jose M Bird, M.D.
• Lillybeth A Birriel, M.D.
• Lorena Birriel, MD
• Hilda M Bithorn, O.D.
• BJR Wound Care
• Ben Blackwood, HS
• Nitza Enid Bladuell, M.D.
• Victoria Andrea Blaiotta Vazquez

• All providers in San Juan, PR
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.