Individual provider Active NPI

Vilma Enid Robles, M.A, M.S, PSYD.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1780981746
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3651 Issued in PR
Practice address
622 Calle Andalucia
Urb. Puerto Nuevo
San Juan, PR 00921
Phone
(787) 593-5027
NPI assigned
Feb 27, 2011
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3651 PR Primary
School Psychologist 103TS0200X 3651 PR

Addresses

Primary practice location

622 Calle Andalucia
Urb. Puerto Nuevo
San Juan, PR 00921

Mailing address

320B Calle Cataluna
Urb. Vistamar
Carolina, PR 00983-1853
Phone (787) 593-5027

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
I20230111001715 PR Practitioner - Clinical Psychologist 8426428228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
3651PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Oct 6, 2022 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Oct 6, 2022 Accepting new patients
Instituto Psicoterapeutico de PR PastSince Oct 6, 2022 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1780981746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320B CALLE CATALUNA",
            "address_2": "URB. VISTAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831853",
            "telephone_number": "787-593-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 CALLE ANDALUCIA",
            "address_2": "URB. PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-593-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "VILMA",
        "middle_name": "ENID",
        "name_prefix": "Mrs.",
        "credential": "M.A, M.S, PSYD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-27",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3651",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "3651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.