Medina Vazquez Psychologist LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MEDINA VAZQUEZ PSYCHOLOGIST LLC

Practice address

Carr 2 Int 417 Edf Pucho Pool
Local 202 Base #16 Bo Guanabano
Aguada, PR 00602

Phone

(939) 630-7208

NPI assigned

May 15, 2025

Organization subpart

No

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

Authorized official

Name

Amneris Medina Vazquez, DRANPI 1659787661

Title

Presidente

Phone

(939) 630-7208

Specialties & licenses 1

Addresses

Other names 1

• BRIGHT MIND PSYCHOLOGY CENTER Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amneris Medina Vazquez

  • Counseling Psychologist
  • Moca, PR
  • NPI 1659787661
  NPD (past) Authorized official

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1518758804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760591",
            "telephone_number": "939-630-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 INT 417 EDF PUCHO POOL",
            "address_2": "LOCAL 202 BASE #16 BO GUANABANO",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "939-630-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA VAZQUEZ PSYCHOLOGIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "MEDINA VAZQUEZ",
        "authorized_official_first_name": "AMNERIS",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "939-630-7208",
        "authorized_official_credential": "DRA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHT MIND PSYCHOLOGY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Med Solutions Inc
• Medica Movil de Puerto Rico Inc.
• Medical EMS Inc
• Medichem Clinic LLC
• Claribel Medina Montano
• Mednur Corp
• Melanie Acevedo Valle LLC
• Alondra Del Koral Mendez Gonzalez, PSYD
• Kerisha Marly Mendez Gonzalez, MD, PA
• Edgar Mendez Negron, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Aguada, PR
• Providers in Aguada, PR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.