Individual provider Active NPI

Mariana Vazquez Vazquez, PSYD

  • Clinical Psychologist
  • Guaynabo, PR
National Provider Identifier
1598326753
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6452 Issued in PR
Practice address
Y8 Calle Green Hill
Urb Garden Hills
Guaynabo, PR 00966
Phone
(787) 234-5731
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6452 PR Primary

Addresses

Primary practice location

Y8 Calle Green Hill
Urb Garden Hills
Guaynabo, PR 00966

Mailing address

Y8 Calle Green Hill
Urb Garden Hills
Guaynabo, PR 00966
Phone (787) 234-5731

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mariana.vazquez@upr.edu Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
6452PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1598326753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "Y8 CALLE GREEN HILL",
            "address_2": "URB GARDEN HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-234-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "Y8 CALLE GREEN HILL",
            "address_2": "URB GARDEN HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-234-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ VAZQUEZ",
        "first_name": "MARIANA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mariana.vazquez@upr.edu",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Urb Garden Hills Calle Green Hill Y8",
            "city": "Guaynabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.