Individual provider Active NPI

Lizette Flores Pabon, PSY D

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1801175138
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3754 Issued in PR
Practice address
Bonneville Heights
Ave. Puerto Rico #3, Local #6
Caguas, PR 00727
Phone
(787) 635-8506
Fax
(787) 653-8402
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3754 PR Primary

Addresses

Primary practice location

Bonneville Heights
Ave. Puerto Rico #3, Local #6
Caguas, PR 00727

Mailing address

Bonneville Heights
Ave. Puerto Rico #3, Local #6
Caguas, PR 00727
Phone (787) 635-8506

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
I20190823003508 PR Practitioner - Clinical Psychologist 5395073696 Practice locations: Caguas, PR; Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3754PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1801175138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BONNEVILLE HEIGHTS",
            "address_2": "AVE. PUERTO RICO #3, LOCAL #6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-635-8506",
            "fax_number": "787-653-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BONNEVILLE HEIGHTS",
            "address_2": "AVE. PUERTO RICO #3, LOCAL #6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-635-8506",
            "fax_number": "787-653-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES PABON",
        "first_name": "LIZETTE",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.