Active NPI
Vivianna Maria Dominguez, PSYCHOLOGIST
- Psychologist
- Arecibo, PR
National Provider Identifier
1801377320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5661
- Practice address
- Urb Radioville
Avenida Rafael Colon Castro #2
Arecibo, PR 00612 - Phone
- (939) 219-8423
- NPI assigned
- Aug 23, 2018
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5661 | PR | Primary |
Addresses
Primary practice location
Urb Radioville
Avenida Rafael Colon Castro #2
Arecibo, PR 00612
Mailing address
16 Urb Tanama
Arecibo, PR 00612
Phone (787) 210-1852
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 |
|---|---|---|---|
| 5661 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1801377320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 URB TANAMA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-210-1852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB RADIOVILLE",
"address_2": "AVENIDA RAFAEL COLON CASTRO #2",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "939-219-8423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "VIVIANNA",
"middle_name": "MARIA",
"name_prefix": "Miss",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "PR",
"license": "5661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
- Doctor Javier E Muskus and Associate C.S. P.
- Doctors Center Hospital Arecibo Inc
- Doctors Center Hospital Arecibo Inc
- Greshen Yolanda Domena Nieves, P.A.
- Jayson Domenech Soto Sr., BSN
- Daniella Dorta Lafontaine
- DPD Pediatrics LLC
- Dr Domenech Figueroa Rivera MD CSP
- Dr Millan Garcia PSC
- Dr Susoni Health Community Services Corp (Hospital Pavia Arecibo)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.