Active NPI
Miguel Vazquez, PSY.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1669779575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3969
- Practice address
- N3 Calle Rosa
Parques de Santa Maria
San Juan, PR 00927-6737 - Phone
- (787) 635-8726
- NPI assigned
- Feb 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3969 | PR | Primary |
Addresses
Primary practice location
N3 Calle Rosa
Parques de Santa Maria
San Juan, PR 00927-6737
Mailing address
N3 Calle Rosa
Parques de Santa Maria
San Juan, PR 00927-6737
Phone (787) 635-8726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3969 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Psicoalternativas | 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 and National Provider Directory roles.
-
- General Practice Physician
- San Juan, PR
- NPI 1598383960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297555200000",
"number": "1669779575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N3 CALLE ROSA",
"address_2": "PARQUES DE SANTA MARIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276737",
"telephone_number": "787-635-8726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N3 CALLE ROSA",
"address_2": "PARQUES DE SANTA MARIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276737",
"telephone_number": "787-635-8726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "MIGUEL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-13",
"last_updated": "2011-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.