Active NPI
Sandra I Ralat, PHD
- Clinical Psychologist
- Trujillo Alto, PR
National Provider Identifier
1073773669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1253
- Practice address
- C8 Calle 4
Urb Montebello Estates
Trujillo Alto, PR 00976-2424 - Phone
- (787) 748-3713
- Fax
- (787) 748-3713
- NPI assigned
- Jun 17, 2008
- 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 | 1253 | PR | Primary |
Addresses
Primary practice location
C8 Calle 4
Urb Montebello Estates
Trujillo Alto, PR 00976-2424
Mailing address
C8 Calle 4
Urb Montebello Estates
Trujillo Alto, PR 00976-2424
Phone (787) 748-3713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1253 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1073773669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C8 CALLE 4",
"address_2": "URB MONTEBELLO ESTATES",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009762424",
"telephone_number": "787-748-3713",
"fax_number": "787-748-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C8 CALLE 4",
"address_2": "URB MONTEBELLO ESTATES",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009762424",
"telephone_number": "787-748-3713",
"fax_number": "787-748-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALAT",
"first_name": "SANDRA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.