Gloryann Alvarado Vazquez, PSY.D.

Individual provider Active NPI Clinical Psychologist · San Juan, PR

NPI 1992299341 · NPPES record last updated Jun 19, 2018

Key facts

NPI
1992299341
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
6016 (PR)
Practice address
1663 Calle Jazmin
San Juan, PR 00927-6319
Phone
(787) 740-1460
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6016PRMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103TC0700X 6016 PR Yes

Addresses

Primary practice location

1663 Calle Jazmin
San Juan, PR 00927-6319

Mailing address

1663 Calle Jazmin
San Juan, PR 00927-6319
Phone (787) 740-1460

Other providers in San Juan, PR

All providers in San Juan, PR · Clinical Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.