Active NPI
Gloryann Alvarado Vazquez, PSY.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1992299341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6016
- Practice address
- 1663 Calle Jazmin
San Juan, PR 00927-6319 - Phone
- (787) 740-1460
- NPI assigned
- Jun 19, 2018
- Last updated
- Jun 19, 2018
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6016 | PR | Primary |
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
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 |
|---|---|---|---|
| 6016 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1992299341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1663 CALLE JAZMIN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276319",
"telephone_number": "787-740-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1663 CALLE JAZMIN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276319",
"telephone_number": "787-740-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO VAZQUEZ",
"first_name": "GLORYANN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Carlos M. Alvarado Hernandez, M.D.
- Francisco Alvarado Huerta
- Awilda Alvarado Pomales, PSY.D.
- Natalia Alvarado Ramos
- Stephanie Alvarado Rivera, PHARMD
- Silkia Michelle Alvarado Zayas
- Miyoly Michelle Alvarado-Alvarez
- Mariane Alvarado-Lopez, MPHE
- Ricardo Nelson Alvarado-Melendez, M.D.
- Jose Antonio Alvarado-Mendez, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.