Individual provider Active NPI

Dyhalma Natacha Avila-Lopez, PHD

  • Psychologist
  • San Juan, PR
National Provider Identifier
1962643676
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2160 Issued in PR
Practice address
265 Calle Sierra Morena
La Cumbre
San Juan, PR 00926-5539
Phone
(787) 287-1731
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2160 PR Primary

Addresses

Primary practice location

265 Calle Sierra Morena
La Cumbre
San Juan, PR 00926-5539

Mailing address

QQ19 Calle Artemisa
Apolo
Guaynabo, PR 00969-5018
Phone (787) 287-1731

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1962643676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "QQ19 CALLE ARTEMISA",
            "address_2": "APOLO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695018",
            "telephone_number": "787-287-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CALLE SIERRA MORENA",
            "address_2": "LA CUMBRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265539",
            "telephone_number": "787-287-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA-LOPEZ",
        "first_name": "DYHALMA",
        "middle_name": "NATACHA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.