Active NPI
Luz Divina Lopez, PSICOLOGY
- Health Service Psychologist
- San Juan, PR
National Provider Identifier
1740300060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 002663
- Practice address
- Suite 728 Ave. E.Pol #497
San Juan, PR 00926 - Phone
- (787) 617-2657
- Fax
- (787) 281-6992
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 002663 | PR | Primary |
Addresses
Primary practice location
Suite 728 Ave. E.Pol #497
San Juan, PR 00926
Mailing address
Ave. E. Apl 497
Suite 728
San Juan, PR 00926
Phone (787) 617-2657
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 |
|---|---|---|---|
| 002663 | PR | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740300060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE. E. APL 497",
"address_2": "SUITE 728",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-617-2657",
"fax_number": "787-281-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUITE 728 AVE. E.POL #497",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-617-2657",
"fax_number": "787-281-6992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LUZ",
"middle_name": "DIVINA",
"name_prefix": "Mrs.",
"credential": "PSICOLOGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "PR",
"license": "002663",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.