Active NPI
Luz Myriam Bracero, CPL
- Professional Counselor
- Bayamon, PR
National Provider Identifier
1568073484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4197
- Practice address
- Carr 174 KM 8.3
Bo Guaraguao Abajo
Bayamon, PR 00956 - Phone
- (787) 349-6260
- NPI assigned
- Aug 13, 2020
- Last updated
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4197 | PR | Primary |
Addresses
Primary practice location
Carr 174 KM 8.3
Bo Guaraguao Abajo
Bayamon, PR 00956
Mailing address
HC 71 Box 16264
Bayamon, PR 00956-9599
Phone (787) 349-6260
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 |
|---|---|---|---|
| 4197 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1568073484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 71 BOX 16264",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009569599",
"telephone_number": "787-349-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 174 KM 8.3",
"address_2": "BO GUARAGUAO ABAJO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-349-6260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACERO",
"first_name": "LUZ",
"middle_name": "MYRIAM",
"credential": "CPL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PR",
"license": "4197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.