Individual provider Active NPI

Keren Vega, LICENCIADA

  • Counseling Psychologist
  • Quebradillas, PR
National Provider Identifier
1710472501
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
006155 Issued in PR
Practice address
Carr 2 KM 101.5
Terranova
Quebradillas, PR 00678
Phone
(787) 895-7915
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 006155 PR Primary

Addresses

Primary practice location

Carr 2 KM 101.5
Terranova
Quebradillas, PR 00678

Mailing address

8516 Calle la Ceiba
Quebradillas, PR 00678-9725
Phone (787) 895-7915

Other names 1

  • Miss Keren Vega Professional name

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
I20240730004826 PR Practitioner - Mental Health Counselor 0840737557 Practice locations: Hatillo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006155PRMDCounseling Psychologist
6155PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1710472501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 CALLE LA CEIBA",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789725",
            "telephone_number": "787-895-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 101.5",
            "address_2": "TERRANOVA",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "KEREN",
        "name_prefix": "Miss",
        "credential": "LICENCIADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "006155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEREN",
            "last_name": "VEGA",
            "prefix": "MISS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Quebradillas, PR

Sources for this page

Verify at the official NPI Registry.