Keishla M Esparra Lugo, MA
Individual provider Active NPI Counseling Psychologist · Comerio, PR
NPI 1972089290 · NPPES record last updated Dec 17, 2022
Key facts
- NPI
- 1972089290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 6161 (PR)
- Practice address
- 5 Calle Santiago Palmer
Comerio, PR 00782 - Phone
- (787) 702-6452
- NPI assigned
- Jul 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| I20210104000788 | PR | Practitioner - Clinical Psychologist | 4880007293 | Practice locations: Cidra, PR; Comerio, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts, Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | |||
| Counseling Psychologist | 103TC1900X | 6161 | PR | Yes |
Addresses
Primary practice location
5 Calle Santiago Palmer
Comerio, PR 00782
Mailing address
HC 4 Box 8332
Comerio, PR 00782-9506
Phone (787) 702-6452
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6161 | Other | PR | PSICOLOGA |
Other providers in Comerio, PR
- Yesenia Doce
- E & W Inc
- Empresas Moreno Reyes Inc.
- Empresas Moreno Reyes Inc.
- Sandramary Escribano Ortiz
- Eternity Vision Center
- Sully Ane Falcon
- Farmacia Nueva Comerio Inc
- Valery Febus Ortiz
- Gisselle Febus
All providers in Comerio, PR · Counseling 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 Dec 17, 2022. 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.