Vilma A Roque Nieves, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7447 Issued in PR

Practice address

Centro Comercial San Vicente Mall
Guayama, PR 00784

Phone

(787) 558-8718

NPI assigned

Jun 14, 2022

Sex

Female

Sole proprietor

No

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: Yes
• 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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Centro Psicologico Ilo, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caguas, PR
  • NPI 1902239114

  Clinical

  Medicare reassignment NPD
• Centro Psicologico Ilo SE LLC

  • Clinical Psychologist
  • Canovanas, PR
  • NPI 1427731538
  NPD
• Professional Mental Health & Counseling Corp PC

  • Clinical Social Worker
  • San Juan, PR
  • NPI 1902346927
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1659001568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB BELLO HORIZONTE",
            "address_2": "CALLE 8 A 11",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846601",
            "telephone_number": "787-647-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL SAN VICENTE MALL",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-558-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE NIEVES",
        "first_name": "VILMA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula A Rodriguez
• Marie Lee Roldan, CPL
• Hector S Rolon Santiago, AMBULANCE
• Alvin Romero-Cales, MD
• Aimee Ivette Romero
• Debora Roque
• Keren M Rosa
• Denilsa Rosado Arroyo, M.S.
• Fernando Luis Rosario, O.D.
• Ines Victoria Rosario

• Clinical Psychologist in Guayama, PR
• Providers in Guayama, 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 Sep 26, 2024; 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.