Suzette Michelle Burgos-Otero, PSY.D.
Individual provider Active NPI Clinical Psychologist · Morovis, PR
NPI 1942912142 · NPPES record last updated Nov 13, 2025
Key facts
- NPI
- 1942912142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6742 (PR)
- Practice address
- 2 Calle Patron
Morovis, PR 00687-3021 - Phone
- (787) 862-3000
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230524003851 | PR | Practitioner - Clinical Psychologist | 1456717966 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6742 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morovis Community Health Center, Inc. | Current | Accepting new patients | |
| Morovis Community Health Center, Inc. | Current |
Accepting new patients | |
| Morovis Community Health Center Inc | Current |
Accepting new patients | |
| Morovis Community Health Center, Inc. | Past | Accepting new patients |
Locations
2 Calle Patron
Morovis, PR 00687
Phone (809) 862-3000
460 Carr 2
#302
Vega Alta, PR 00692
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6742 | PR | Yes |
Addresses
Primary practice location
2 Calle Patron
Morovis, PR 00687-3021
Mailing address
PO Box 502
Ciales, PR 00638-0502
Other providers in Morovis, PR
- Benjamin Aviles Melendez
- Blanca L. Vega Alvarado
- Chenoa Blot
- Ricardo Javier Burgos Burgos
- Nilvette Alexandra Burgos Fontan
- Madeline Burgos
- Yadiris M Cabrera Perez
- Laura Enid Caceres Charneco
- Maria R Camacho Peinado
- Karinee Candelario
All providers in Morovis, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.