Individual provider Active NPI

Liz D Garcia Mendez, MS

  • Clinical Psychologist
  • Toa Baja, PR
National Provider Identifier
1871072165
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5929 Issued in PR
Practice address
Calle Paseo Calma 3370
Toa Baja, PR 00949
Phone
(787) 310-9765
NPI assigned
Aug 8, 2018
Last updated
May 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5929 PR Primary
Counseling Psychologist 103TC1900X 5929 PR
Psychoanalysis Psychologist 103TP0814X 5929 PR

Addresses

Primary practice location

Calle Paseo Calma 3370
Toa Baja, PR 00949

Mailing address

4728 Calle Milagrosa
B136 Sabana Seca
Toa Baja, PR 00952
Phone (787) 310-9765

Other practice location 1

4728 Calle Milagrosa
B136 Sabana Seca
Toa Baja, PR 00952
Phone (787) 310-9765

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)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
5929PRMDPsychoanalysis Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1871072165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 CALLE MILAGROSA",
            "address_2": "B136 SABANA SECA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-310-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PASEO CALMA 3370",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-310-9765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4728 Calle Milagrosa",
            "address_2": "B136 Sabana Seca",
            "address_purpose": "LOCATION",
            "city": "Toa Baja",
            "state": "PR",
            "postal_code": "00952",
            "country_code": "US",
            "telephone_number": "787-310-9765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA MENDEZ",
        "first_name": "LIZ",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2022-05-13",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5929",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5929",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "PR",
            "license": "5929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.