Individual provider Active NPI

Yajaira Cintron Lugo, PSY-D

  • Clinical Psychologist
  • Guayama, PR
National Provider Identifier
1821705740
Registry record updated Dec 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
007137 Issued in PR
Practice address
Comunidad Puente de Jobos Carr. 3 KM 145.9
Guayama, PR 00784
Phone
(787) 864-5233
NPI assigned
Oct 31, 2022
Last updated
Dec 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 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 007137 PR Primary
Clinical Social Worker 1041C0700X 007783 PR

Addresses

Primary practice location

Comunidad Puente de Jobos Carr. 3 KM 145.9
Guayama, PR 00784

Mailing address

Comunidad Puente de Jobos 42-37 Calle2-a
Guayama, PR 00784-7240
Phone (787) 604-1267

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
I20230106002146 PR Practitioner - Clinical Psychologist 5395115315 Practice locations: Guayama, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007137PRMDClinical Psychologist
007783PRMDClinical Social Worker
7137PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670716800000",
    "number": "1821705740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMUNIDAD PUENTE DE JOBOS 42-37 CALLE2-A",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007847240",
            "telephone_number": "787-604-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMUNIDAD PUENTE DE JOBOS CARR. 3 KM 145.9",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINTRON LUGO",
        "first_name": "YAJAIRA",
        "credential": "PSY-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-12-11",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "007137",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "007783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.