Ivan Audberto Bauza Henriquez, MA
NPI 1770774143ActiveIndividual· Psychologist, Counseling· Rio Piedras, PR
Psychologist, Counseling (MA) in Rio Piedras, Puerto Rico, licensed in PR, with an NPI issued in August 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1770774143 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA |
| Sole proprietor | Yes |
| NPI issued | Aug 9, 2007 |
| Last updated in NPPES | Aug 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 1886 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (PR) |
|---|
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