- Practice location
- 5510 N Hesperides St, Tampa, FL 33614-5414
- Phone
- 813-467-6111
- Fax
- —
- Last updated
- January 26, 2024
Mayra Liz Lugo-Gonzalez is a Psychologist, Clinical based in Tampa, FL. Mayra Liz Lugo-Gonzalez practices in Tampa, FL. The NPI Number for Mayra Liz Lugo-Gonzalez is 1255610531 and holds a License No. 3900 (PR). The current practice location address for Mayra Liz Lugo-Gonzalez is 5510 N Hesperides St, Tampa, FL 33614-5414 and can be reached out via phone at 813-467-6111.
Provider Profile Details
- NPI Number
- 1255610531
- Provider Name
- Mayra Liz Lugo-Gonzalez
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5510 N Hesperides St, Tampa, FL 33614-5414
- Phone Number
- 813-467-6111
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 4, 2011
- Last Update Date
- January 26, 2024
- Certification Date
- January 26, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5510 N Hesperides St
Tampa, FL 33614-5414 - City
- Tampa
- State
- Florida
- Zip
- 33614-5414
- Phone Number
- 813-467-6111
Provider Business Mailing Address Details
- Address
- 5510 N Hesperides St
Tampa, FL 33614-5414 - City
- Tampa
- State
- FL
- Zip
- 33614-5414
- Phone Number
- 813-467-6111
License Information
- License Number (1)
- 3900
- License State (1)
- PR
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- PY11197
- License State (2)
- FL
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mayra L Lugo-Gonzalez?
The NPI number of Mayra L Lugo-Gonzalez is 1255610531. It was assigned on August 4, 2011 and is currently active in the NPPES registry.
What is the specialty of Mayra L Lugo-Gonzalez?
Mayra L Lugo-Gonzalez is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 3900.
Where does Mayra L Lugo-Gonzalez practice?
The practice location is 5510 N Hesperides St, Tampa, FL 33614-5414. The office can be reached at 813-467-6111 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255610531 directly on the NPPES registry website.