Active NPIIndividual provider

Miss Lisandra M Dominguez I, PSYD

Psychologist, Clinical in Humacao, Puerto Rico

NPI Number1669199089
Practice location
1 Calle Ramon Gomez S, Humacao, PR 00791-3939
Fax
—
Last updated
January 2, 2024

Lisandra M Dominguez is a Psychologist, Clinical based in Humacao, PR. Lisandra M Dominguez practices in Humacao, PR and has the professional credentials of PSYD. The NPI Number for Lisandra M Dominguez is 1669199089 and holds a License No. 7791 (PR). The current practice location address for Lisandra M Dominguez is 1 Calle Ramon Gomez S, Humacao, PR 00791-3939 and can be reached out via phone at 787-547-4433.

Provider Profile Details

NPI Number
1669199089
Provider Name
Lisandra M Dominguez
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1 Calle Ramon Gomez S, Humacao, PR 00791-3939
Phone Number
787-547-4433
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
October 26, 2022
Last Update Date
January 2, 2024
Certification Date
December 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Calle Ramon Gomez S
Humacao, PR 00791-3939
Zip
00791-3939
Phone Number
787-547-4433
Humacao, PR 00791Get directions →

Provider Business Mailing Address Details

Address
Po Box 9023711
San Juan, PR 00902-3711
City
San Juan
State
PR
Zip
00902-3711
Phone Number
787-993-3885

License Information

License Number
7791
License State
PR
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Miss Lisandra M Dominguez I, PSYD?

The NPI number of Miss Lisandra M Dominguez I, PSYD is 1669199089. It was assigned on October 26, 2022 and is currently active in the NPPES registry.

What is the specialty of Miss Lisandra M Dominguez I, PSYD?

Miss Lisandra M Dominguez I, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 7791.

Where does Miss Lisandra M Dominguez I, PSYD practice?

The practice location is 1 Calle Ramon Gomez S, Humacao, PR 00791-3939. The office can be reached at 787-547-4433 (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 1669199089 directly on the NPPES registry website.

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