Active NPI
Enid M Lopez Valentin, PSY.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1619160231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2557
- Practice address
- Calle Bori #1542
Urb. Belisa
San Juan, PR 00927 - Phone
- (787) 274-9494
- Fax
- (787) 274-9444
- NPI assigned
- Aug 27, 2007
- 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 | 2557 | PR | Primary |
Addresses
Primary practice location
Calle Bori #1542
Urb. Belisa
San Juan, PR 00927
Mailing address
Calle Bori #1542
Urb, Belisa
San Juan, PR 00927
Phone (787) 274-9494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Memorial Hospital Inc | Clinical | Current | Accepting new patients |
| Saint Lukes Memorial Hospital Inc | Clinical | Current | Accepting new patients |
Locations
917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314
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 and National Provider Directory roles.
-
- Clinical Psychologist
- San Juan, PR
- NPI 1962219683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1619160231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE BORI #1542",
"address_2": "URB, BELISA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-274-9494",
"fax_number": "787-274-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE BORI #1542",
"address_2": "URB. BELISA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-274-9494",
"fax_number": "787-274-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ VALENTIN",
"first_name": "ENID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.