Individual provider Active NPI

Cristina Marie Vazquez Rios, PSY.D.

  • Clinical Psychologist
  • Puerto Rico, PR
National Provider Identifier
1871293670
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7646 Issued in PR
Practice address
Bo. Maricao Sect. Bajura
Vega Alta
Puerto Rico, PR 00692-0069
Phone
(787) 436-4364
NPI assigned
Mar 9, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7646 PR Primary

Addresses

Primary practice location

Bo. Maricao Sect. Bajura
Vega Alta
Puerto Rico, PR 00692-0069

Mailing address

28 Calle 16
Vega Baja, PR 00693-3702
Phone (787) 436-4364

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
I20230804002997 PR Practitioner - Clinical Psychologist 4183085244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Healthcare Services LLC CurrentSince Jun 21, 2023 Accepting new patients

Locations

1808 Ave del Valle
Toa Baja, PR 00949
Phone (787) 503-8889

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1871293670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CALLE 16",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933702",
            "telephone_number": "787-436-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. MARICAO SECT. BAJURA",
            "address_2": "VEGA ALTA",
            "city": "PUERTO RICO",
            "state": "PR",
            "postal_code": "006920069",
            "telephone_number": "787-436-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ RIOS",
        "first_name": "CRISTINA",
        "middle_name": "MARIE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puerto Rico, PR

Sources for this page

Verify at the official NPI Registry.