Estela Maria Lopez, PSY.,D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1910 Issued in PR

Practice address

12 Ave Alejandrino
Urb Villa Clementina
Guaynabo, PR 00969-4712

Phone

(787) 689-0519

NPI assigned

Jul 24, 2009

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1629208574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 CALLE FERMIN ZEDO",
            "address_2": "URB FAIR VIEW CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267627",
            "telephone_number": "787-403-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 AVE ALEJANDRINO",
            "address_2": "URB VILLA CLEMENTINA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694712",
            "telephone_number": "787-689-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ESTELA",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "PSY.,D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concepcion Lopez-Erquicia, PH.D.
• Roberto F Lopez-Rosario, MD
• Alexandra Marie Lopez, D.C.
• Ana Rebecca Lopez, DMD
• Diana Ivette Lopez, PHARM TECH
• Evelyn Lopez, M.D.
• Liliana Lopez
• Margarita Lopez
• Maria J Lopez, M.D.
• Sarah Lopez, M.D.

• Clinical Psychologist in Guaynabo, PR
• Providers in Guaynabo, 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 Jul 24, 2009; 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.

Verify at the official NPI Registry.