Individual provider Active NPI

Luz E. Irizarry Ramos, PSY.D.

  • Clinical Psychologist
  • Carolina, PR
National Provider Identifier
1699857805
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001717 Issued in PR
Practice address
66 Carr 848 Esq Florentino Plaza 2DO Piso Ofic 1 a
Villa San Anton
Carolina, PR 00987-6857
Phone
(787) 257-8967
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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 001717 PR Primary

Addresses

Primary practice location

66 Carr 848 Esq Florentino Plaza 2DO Piso Ofic 1 a
Villa San Anton
Carolina, PR 00987-6857

Mailing address

7001 Cond Aventura
Encantada
Trujillo Alto, PR 00976
Phone (787) 257-8967

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
I20180202000362 PR Practitioner - Clinical Psychologist 8628338092 Practice locations: Carolina, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001717PRMDClinical Psychologist
1717PRMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1699857805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 COND AVENTURA",
            "address_2": "ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-257-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CARR 848 ESQ FLORENTINO PLAZA 2DO PISO OFIC 1 A",
            "address_2": "VILLA SAN ANTON",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009876857",
            "telephone_number": "787-257-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY RAMOS",
        "first_name": "LUZ",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "001717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.