MEDICARE: YESENIA NOEMI DE JESUS LOPEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	7338	PR

General Provider Information

NPI Number	:	1518804715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YESENIA NOEMI DE JESUS LOPEZ

Provider Business Mailing Address
First Line	:	3090 PEDREGALES ST MANSIONES
Second Line	:
City	:	CABO ROJO
State	:	PR
Zip	:	00623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 CALLE MENDEZ VIGO
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00730-3697
Country	:	US
Telephone Number	:	787-987-7563
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

Similar Medicare Providers

1225371883 — PRIMARY MEDICAL GROUP SAN CRISTOBAL
Practice Location Address:

34 CALLE MENDEZ VIGO
PONCE, PR
00730-3697

Practice Phone: 787-813-0080
Practice Fax: 787-840-8874

1659208445 — LUPUS CORPORATION
Practice Location Address:

ESTANCIAS DEL GOLF CLUB , 1599 CALLE M RIVERA TEXIDOR
PONCE, PR
00730-9898

Practice Phone: 787-223-2755
Practice Fax:

1821925363 — SANTIS HEALTH
Practice Location Address:

1154 CALLE AVILA
PONCE, PR
00730-4026

Practice Phone: 787-718-0828
Practice Fax:

1013910512 — LABORATORIO CLINICO SANDON INC
Practice Location Address:

12 CALLE BERTOLY
PONCE, PR
00730-3060

Practice Phone: 787-844-4655
Practice Fax: 787-843-7868

1235132713 — LUIS A SERRANO M. D.
Practice Location Address:

44 MAYOR ST. , ZAMORA BUILDING 1ST. FLOOR
PONCE, PR
00730-3761

Practice Phone: 787-848-5353
Practice Fax: 787-259-4462

1689677924 — DR. GERARD RAMOS-MARTIN M.D.
Practice Location Address:

18 GAUDI ST. , QUINTAS DE MONSERRATE
PONCE, PR
00730-1747

Practice Phone: 787-384-8638
Practice Fax: 787-812-0423

Directions to “ YESENIA NOEMI DE JESUS LOPEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.