Individual provider Active NPI

Stephanie Perez Lopez, DOCTOR

  • Clinical Psychologist
  • Guaynabo, PR
National Provider Identifier
1619654977
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6868 Issued in PR
Practice address
Calle Turquesa 2118, Suite 201-B
Guaynabo, PR 00969-4960
Phone
(787) 708-9093
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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 6868 PR Primary

Addresses

Primary practice location

Calle Turquesa 2118, Suite 201-B
Guaynabo, PR 00969-4960

Mailing address

140 Paseo de la Palma Real
Urb. El Valle
Caguas, PR 00727

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
6868PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Familias Capaces, Inc. CurrentSince Jul 2, 2023 Accepting new patients

Locations

2118 Calle Turquesa
Ste 201B
Guaynabo, PR 00969
Phone (787) 708-9093

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1619654977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PASEO DE LA PALMA REAL",
            "address_2": "URB. EL VALLE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE TURQUESA 2118, SUITE 201-B",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694960",
            "telephone_number": "787-708-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ LOPEZ",
        "first_name": "STEPHANIE",
        "credential": "DOCTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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, 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.