Active NPI
Brendaliz Cortes Lopez, MAESTRIA PSICOLOGIA
- School Psychologist
- Aguada, PR
National Provider Identifier
1922310036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3521
- Practice address
- Carretera 417 KM. 3.5 Bo. Guanabano
Aguada, PR 00602 - Phone
- (787) 244-2954
- NPI assigned
- Jul 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3521 | PR | Primary |
Addresses
Primary practice location
Carretera 417 KM. 3.5 Bo. Guanabano
Aguada, PR 00602
Mailing address
Carretera 417 KM. 3.5 Bo. Guanabano
Aguada, PR 00602
Phone (787) 244-2954
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 |
|---|---|---|---|
| 3521 | PR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1922310036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARRETERA 417 KM. 3.5 BO. GUANABANO",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-244-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 417 KM. 3.5 BO. GUANABANO",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-244-2954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES LOPEZ",
"first_name": "BRENDALIZ",
"credential": "MAESTRIA PSICOLOGIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-06",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "3521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.