Active NPI
Enid Lopez
- Counseling Psychologist
- Yauco, PR
National Provider Identifier
1841629367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1773
- Practice address
- 547 Calle Madrid
Yauco, PR 00698-2541 - Phone
- (787) 642-3935
- NPI assigned
- Nov 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 001773 | PR | |
| Counseling Psychologist | 103TC1900X | 1773 | PR | Primary |
Addresses
Primary practice location
547 Calle Madrid
Yauco, PR 00698-2541
Mailing address
547 Calle Madrid
Yauco, PR 00698-2541
Phone (787) 642-3935
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 |
|---|---|---|---|
| 001773 | PR | MD | Psychologist |
| 1773 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1841629367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 CALLE MADRID",
"city": "YAUCO",
"state": "PR",
"postal_code": "006982541",
"telephone_number": "787-642-3935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 CALLE MADRID",
"city": "YAUCO",
"state": "PR",
"postal_code": "006982541",
"telephone_number": "787-642-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ENID",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-05",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "001773",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "1773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yauco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.