Yvette Portell, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1820 Issued in PR

Practice address

1607 Ave Ponce de Leon
Suite GM-4 Cobian's Plaza
San Juan, PR 00909-1820

Phone

(939) 940-8366

NPI assigned

Dec 6, 2006

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

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Los Angeles Medical Clinic Corp

  • General Practice Physician
  • Santurce, PR
  • NPI 1912970351

  Clinical

  NPD (past)
• Los Angeles Medical Health Clinic

  • Obstetrics & Gynecology Physician
  • San Juan, PR
  • NPI 1003011479

  Clinical

  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1528127883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10021",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009881021",
            "telephone_number": "939-940-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 AVE PONCE DE LEON",
            "address_2": "SUITE GM-4 COBIAN'S PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091820",
            "telephone_number": "939-940-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELL",
        "first_name": "YVETTE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen A Portalatin, RPH
• Zulmary Portela Rivera, PHARMD
• Eugenio Portela Sanchez, ND
• Ramon M Portela, MD
• Rosaliz M Portela, MD
• Peter Portilla, M.D.
• Silvia Portillo, RN.
• Carlos M Portocarrero, M.D.
• Antonio C Pou Martinez, M.D.,F.A.C.O.G.
• Juan Jose Poueriet Cedeno, MD

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.