Jennymir Liboy-Rios, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

03769 Issued in PR

Practice address

Calle 22
S7 Vista Azul
Arecibo, PR 00612-3128

Phone

(787) 473-4926

Fax

(787) 879-2098

NPI assigned

Aug 27, 2010

Last updated

Dec 7, 2011By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Servicios Psicologicos Vive, PSC.

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1962796599
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1891001814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 22",
            "address_2": "S7 VISTA AZUL",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123128",
            "telephone_number": "787-473-4926",
            "fax_number": "787-879-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 22",
            "address_2": "S7 VISTA AZUL",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123128",
            "telephone_number": "787-473-4926",
            "fax_number": "787-879-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBOY-RIOS",
        "first_name": "JENNYMIR",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "03769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Franklyn Laracuente, PHD
• Lenelis Larriuz
• Dania Lasalle Igartua
• LDV Endodontics
• Christopher Bruce Lemus Deliz, MD
• Lizbette Lugo Perez CSP
• Maitte Llerandi
• Llorens Hospital Supply
• LM Ocular Care, LLC
• LMDC Primary Medicine LLC

• Clinical Psychologist in Arecibo, PR
• Providers in Arecibo, 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 Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.