Active NPI
Sandra I Quiles, PSYCHOLOGIST
- Clinical Psychologist
- Bayamon, PR
National Provider Identifier
1003954058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 432
- Practice address
- Ave Santa Juanita
M-70 Ofc. #1
Bayamon, PR 00956 - Phone
- (787) 449-6863
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 432 | PR | Primary |
Addresses
Primary practice location
Ave Santa Juanita
M-70 Ofc. #1
Bayamon, PR 00956
Mailing address
Cond Condado del Mar, Ave Ashford 1474
Apt 2001
San Juan, PR 00907-1538
Phone (787) 449-6863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 432 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1003954058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND CONDADO DEL MAR, AVE ASHFORD 1474",
"address_2": "APT 2001",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071538",
"telephone_number": "787-449-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE SANTA JUANITA",
"address_2": "M-70 OFC. #1",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-449-6863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILES",
"first_name": "SANDRA",
"middle_name": "I",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.