Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLINICA PSICOLOGICA LAS MIRLAS LLC
NPI 1104485077
Psychologist - Clinical in Guanica, PR

Q: What is Clinica Psicologica Las Mirlas LLC's NPI number?

The NPI number for Clinica Psicologica Las Mirlas LLC is 1104485077. It was assigned to this organization in the NPPES registry on June 13, 2019.

Q: What is Clinica Psicologica Las Mirlas LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 13, 2019

22 CALLE 25 DE JULIO, GUANICA, PR 00653(787) 673-8394 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Apr 30, 2024, Apr 9, 2024 and 2 more (5 updates tracked since 2019).

On this page

About Clinica Psicologica Las Mirlas Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICA PSICOLOGICA LAS MIRLAS LLC (NPI 1104485077) is a healthcare organization registered as a clinical in Guanica, Puerto Rico and active in the NPI registry since June 2019. The organization lists Gabriela Enid Luciano, Director, as its authorized official.

NPPES Registry Identity

NPI1104485077

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCLINICA PSICOLOGICA LAS MIRLAS LLC

Location Address22 CALLE 25 DE JULIOGuanica, PR 00653-2110

Mailing AddressPo Box 5103 Pmb 171Cabo Rojo, PR 00623-5103 · (787) 673-8394

Phone(787) 673-8394

Organization SubpartNo

Authorized OfficialGabriela Enid LucianoDirector · (787) 673-8394

Enumeration DateJune 13, 2019

Last NPPES UpdateOctober 14, 20265 updates tracked since enumeration

NPPES CertifiedOctober 14, 2026

✔ NPI 1104485077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinica Psicologica Las Mirlas Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Clinica Psicologica Las Mirlas LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Samary Feliciano, MSW

Clinical Social Worker

NPI 1285281915

202 AVE GAUTIER BENITEZ B5 CONSOLIDATED MALL
Caguas, PR 00725

(787) 704-0705

✔ PECOS

Gabriela Luciano, PSYD

Clinical Psychologist

NPI 1073025995

22 CALLE 25 DE JULIO
Guanica, PR 00653

(787) 673-8394

✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinica Psicologica Las Mirlas LLC's NPI number?

The NPI number for Clinica Psicologica Las Mirlas LLC is 1104485077. It was assigned to this organization in the NPPES registry on June 13, 2019.

Where is Clinica Psicologica Las Mirlas LLC located?

Clinica Psicologica Las Mirlas LLC is located at 22 Calle 25 De Julio, Guanica, PR 00653. The listed phone number is (787) 673-8394.

What is Clinica Psicologica Las Mirlas LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Clinica Psicologica Las Mirlas LLC enrolled in Medicare?

Yes. Clinica Psicologica Las Mirlas LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinica Psicologica Las Mirlas LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clinica Psicologica Las Mirlas LLC, in Clinical Psychologist and Clinical Social Worker. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clinica Psicologica Las Mirlas LLC was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.