Lisandra Ortiz de Leon, PHD.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2196 Issued in PR

Practice address

Miguel Melendez Munoz 9
Cayey, PR 00736

Phone

(787) 205-6527

Fax

(787) 263-7536

NPI assigned

Apr 18, 2007

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

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1891911780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 43 BOX 11605",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369221",
            "telephone_number": "787-205-6527",
            "fax_number": "787-263-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIGUEL MELENDEZ MUNOZ 9",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-205-6527",
            "fax_number": "787-263-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ DE LEON",
        "first_name": "LISANDRA",
        "name_prefix": "Miss",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "2196",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthodontics Unlimited
• Leonora Marie Ortiz Bonilla, MD
• Emmanuel Alberto Ortiz Colon
• Judith Ortiz Colon, DMD
• Julio Ortiz Cruz, PHARMD
• Yazmin Ortiz del Valle
• Angelina Ortiz Diaz, RPT
• Christopher G Ortiz Morales
• Victor Manuel Ortiz Rodriguez, M.D
• Jose Luis Ortiz-Cruz, MD

• Psychologist in Cayey, PR
• Providers in Cayey, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.