Individual provider Active NPI

Lorraine Marie Lugo Diaz

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1740670967
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3696 Issued in PR
Practice address
2351 Blvd Luis a Ferre
Ponce, PR 00717-0776
Phone
(787) 290-1111
Fax
(787) 290-1111
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 3696 PR
Clinical Psychologist 103TC0700X 3696 PR Primary

Addresses

Primary practice location

2351 Blvd Luis a Ferre
Ponce, PR 00717-0776

Mailing address

Ac 7 Calle 29C
Jardines del Caribe
Ponce, PR 00728
Phone (787) 298-4838

Other practice location 1

3260 Ave Emilio Fagot
Extencion Santa Teresita
Ponce, PR 00730-4603
Phone (787) 651-7953

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3696PRMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Armonia LLC Clinical PastSince Nov 24, 2025 Accepting new patients
Prospective Psychiatry Group, PSC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740670967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AC 7 CALLE 29C",
            "address_2": "JARDINES DEL CARIBE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-298-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 BLVD LUIS A FERRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170776",
            "telephone_number": "787-290-1111",
            "fax_number": "787-290-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3260 Ave Emilio Fagot",
            "address_2": "Extencion Santa Teresita",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007304603",
            "country_code": "US",
            "telephone_number": "787-651-7953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGO DIAZ",
        "first_name": "LORRAINE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "3696",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.