Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Raquel Ivelisse Lopez Crespo, PSIC

Individual provider Psychologist · NPI 1245864081

Mrs. Raquel Ivelisse Lopez Crespo, PSIC is a Clinical Psychologist in Canovanas, Puerto Rico. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Puerto Rico.

Years since qualifying
8
Licensed in
PR
In the registry since
2020
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Enrique Mangual Canovanas Mall Oficina Local 14
Canovanas, PR 00729
Phone: (787) 344-1277

No coordinates on file. Search this address in Google Maps

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6375 (PR)

Record details

NPI number1245864081
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSIC
Sole proprietorYes
NPI enumeratedMarch 2, 2020
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Canovanas