Wanda C Luciano Ortega, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3000 Issued in PR

Practice address

412 Calle del Rio
Santurce, PR 00912-4234

Phone

(787) 463-8310

NPI assigned

Mar 5, 2008

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

Other names 1

• Mrs. Wanda C Luciano Ortega Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1649440678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CALLE DEL RIO",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009124234",
            "telephone_number": "787-463-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CALLE DEL RIO",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009124234",
            "telephone_number": "787-463-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIANO ORTEGA",
        "first_name": "WANDA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "LUCIANO ORTEGA",
            "middle_name": "C",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jose A Marques Bibiloni Sr., MD
• Domingo J. Marques, PSY.D.
• Doris A Marrero

• Psychologist in Santurce, PR
• Providers in Santurce, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.