Active NPI
Brenda Iris Vera, M.S.W., PH.D.
- Clinical Psychologist
- Arecibo, PR
National Provider Identifier
1760612733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3354
- Practice address
- Carr. #2 KM 81.1
Sector San Daniel
Arecibo, PR 00612 - Phone
- (787) 403-0741
- NPI assigned
- Jul 23, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3354 | PR | Primary |
| Social Worker | 104100000X | 4895 | PR |
Addresses
Primary practice location
Carr. #2 KM 81.1
Sector San Daniel
Arecibo, PR 00612
Mailing address
P. O. Box 142845
Arecibo, PR 00614-2845
Phone (787) 878-5338
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3354 | PR | MD | Oral and Maxillofacial Surgery (Dentist) |
| 4895 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249430400000",
"number": "1760612733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 142845",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006142845",
"telephone_number": "787-878-5338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. #2 KM 81.1",
"address_2": "SECTOR SAN DANIEL",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-403-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "BRENDA",
"middle_name": "IRIS",
"name_prefix": "Dr.",
"credential": "M.S.W., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-23",
"last_updated": "2009-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3354",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "4895",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.