Individual provider Active NPI

Beatriz Cancio Gutierrez

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1639879331
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8118 Issued in PR
Practice address
Cond. Le Mans #602 Ave. Luis Munoz Rivera
St. 206
San Juan, PR 00918
Phone
(787) 605-2969
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 8118 PR Primary

Addresses

Primary practice location

Cond. Le Mans #602 Ave. Luis Munoz Rivera
St. 206
San Juan, PR 00918

Mailing address

PO Box 59
Guaynabo, PR 00970-0059
Phone (787) 605-2969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211003455 PR Practitioner - Clinical Psychologist 9436643954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1353 Ave Luis Vigoreaux PMB
Suite 337
Guaynabo, PR 00966

500 Ave Los Filtros Box
Suite 59
Guaynabo, PR 00971-9227

602 Ave Luis Munoz Rivera
Suite 602
San Juan, PR 00918

602 Ave Munoz Rivera
Suite 602
San Juan, PR 00918-3629
Phone (787) 605-2969

PO Box
Suite 59
Guaynabo, PR 00970-0059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8118PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Multidisciplinary Psychological Services, P.S.C. Clinical CurrentSince Nov 25, 2025 Accepting new patients

Locations

1353 Ave Luis Vigoreaux
Guaynabo, PR 00966

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1639879331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009700059",
            "telephone_number": "787-605-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND. LE MANS #602 AVE. LUIS MUNOZ RIVERA",
            "address_2": "ST. 206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-605-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCIO GUTIERREZ",
        "first_name": "BEATRIZ",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.