Individual provider Active NPI

Lisandra Brunell del Valle, PSY D

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1679720882
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3083 Issued in PR
Practice address
Ave Degetau # a-8
Bonneville Terrace
Caguas, PR 00725-5819
Phone
(787) 258-5697
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 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 3083 PR Primary

Addresses

Primary practice location

Ave Degetau # a-8
Bonneville Terrace
Caguas, PR 00725-5819

Mailing address

A8 Ave Degetau
Bonneville Terrace
Caguas, PR 00725-5819
Phone (787) 258-5697

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
I20170130002628 PR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9931499357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1679720882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A8 AVE DEGETAU",
            "address_2": "BONNEVILLE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255819",
            "telephone_number": "787-258-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE DEGETAU # A-8",
            "address_2": "BONNEVILLE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255819",
            "telephone_number": "787-258-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELL DEL VALLE",
        "first_name": "LISANDRA",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.