Vidalina Feliciano Lopez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4111 Issued in PR

Practice address

Ave. Wiston Churchill Cond. Villas del Senorial
Apt. 1205
San Juan, PR 00926

Phone

(787) 529-7932

NPI assigned

Apr 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1811253123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. WISTON CHURCHILL COND. VILLAS DEL SENORIAL",
            "address_2": "APT. 1205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-529-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. WISTON CHURCHILL COND. VILLAS DEL SENORIAL",
            "address_2": "APT. 1205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-529-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO LOPEZ",
        "first_name": "VIDALINA",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola Feliciano Bonilla, MD
• Angela I Feliciano Caraballo, FNP
• Ruben Feliciano Collazo
• Anibal Feliciano Deliz, MD
• Wilmer Enrique Feliciano Figueroa
• Nahir Feliciano Perez, DC
• Janice Feliciano Roman, DRA
• Karla Jenisse Feliciano Salva, MD
• Ricardo Feliciano Valera, M.D.
• Lourdes Feliciano-Nieves, DMD

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.