Individual provider Active NPI

Nicole Vazquez Colon, PSY.D.

  • Clinical Psychologist
  • Coto Laurel, PR
National Provider Identifier
1639960446
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7290 Issued in PR
Practice address
Torre San Cristobal
Suite 102
Coto Laurel, PR 00780
Phone
(939) 209-6009
NPI assigned
May 13, 2025
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 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 7290 PR Primary

Addresses

Primary practice location

Torre San Cristobal
Suite 102
Coto Laurel, PR 00780

Mailing address

PO Box 397
Mercedita, PR 00715-0397
Phone (939) 209-6009

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
I20260505000631 PR Practitioner - Clinical Psychologist 1456829878 Reassigns benefits to 1 organization
Practice locations: Coto Laurel, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1659 Paseo Villa Flores
Ponce, PR 00716

PO Box
Suite 397
Mercedita, PR 00715-0397

Torre San Cristobal
Suite 102
Coto Laurel, PR 00780-2826
Phone (939) 209-6009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7290PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Therapy Center LLC Clinical Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1639960446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150397",
            "telephone_number": "939-209-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN CRISTOBAL",
            "address_2": "SUITE 102",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "939-209-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ COLON",
        "first_name": "NICOLE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.