Yamaris Vazquez Garcia, PSYD MSW
Individual provider Active NPI Clinical Psychologist · Utuado, PR
NPI 1669296901 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1669296901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 8310 (PR)
- Practice address
- 418 Calle Sargento Israel Malaret Juarbe
Utuado, PR 00641 - Phone
- (939) 272-6658
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250131002468 | PR | Practitioner - Clinical Psychologist | 8426587635 | Practice locations: Utuado, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8310 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Del Valle Family Clinic | Current |
Accepting new patients | |
| Evolve Mental Health Clinic LLC | Past |
Accepting new patients | |
| Caribbean Ophthalmology Associates LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14087 | PR | |
| Clinical Psychologist | 103TC0700X | 8310 | PR | Yes |
Addresses
Primary practice location
418 Calle Sargento Israel Malaret Juarbe
Utuado, PR 00641
Mailing address
HC 1 Box 8019
Hatillo, PR 00659-7358
Phone (939) 272-6658
Other practice location 1
Carr #2 km 86.1 Bo. Carrizales
Hatillo, PR 00659
Phone (939) 272-6658
Other providers in Utuado, PR
- Utuado Health Hospital Corp
- Utuado Medical Equipment & Supply
- Utuado Sonography Center
- Utuado Vision Center CSP
- Roberto Valines
- Jose Antonio Vazquez Henao
- Adrian Manuel Vazquez Rivera
- Benigno Vazquez-Marrero
- Yessenia Velazquez
- Karen Michelle Velez Mercado
All providers in Utuado, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.