Active NPI
Lissette Colon Ortiz
- Clinical Psychologist
- Naranjito, PR
National Provider Identifier
1497925648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1438
- Practice address
- Centro Comercial Jardines de Naranjito
Aps Clinics of PR
Naranjito, PR 00719 - Phone
- (787) 641-0774
- Fax
- (787) 641-0776
- NPI assigned
- Mar 4, 2008
- Last updated
- Nov 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1438 | PR | Primary |
Addresses
Primary practice location
Centro Comercial Jardines de Naranjito
Aps Clinics of PR
Naranjito, PR 00719
Mailing address
PO Box 71474
Aps Healthcare PR
San Juan, PR 00936-8574
Phone (787) 641-0774
Other practice location 1
D12 Calle Mis Amores
Caguas, PR 00725-5821
Phone (787) 930-3144
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1438 | PR | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Psicologico Ilo SE LLC | Clinical | Past | Accepting new patients |
| Centro Psicologico Ilo, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Canovanas, PR
- NPI 1427731538
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Caguas, PR
- NPI 1902239114
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1497925648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71474",
"address_2": "APS HEALTHCARE PR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009368574",
"telephone_number": "787-641-0774",
"fax_number": "787-641-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO COMERCIAL JARDINES DE NARANJITO",
"address_2": "APS CLINICS OF PR",
"city": "NARANJITO",
"state": "PR",
"postal_code": "00719",
"telephone_number": "787-641-0774",
"fax_number": "787-641-0776"
}
],
"practiceLocations": [
{
"address_1": "D12 Calle Mis Amores",
"address_purpose": "LOCATION",
"city": "Caguas",
"state": "PR",
"postal_code": "007255821",
"country_code": "US",
"telephone_number": "787-930-3144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLON ORTIZ",
"first_name": "LISSETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-04",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naranjito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.