Active NPI
Wilda Y Quinones
- Occupational Therapy Assistant
- San Juan, PR
National Provider Identifier
1104792415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1046
- Practice address
- Calle Julian Bengochea
#1232 San Martin
San Juan, PR 00924 - Phone
- (787) 200-0567
- NPI assigned
- Oct 14, 2025
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1046 | PR | Primary |
Addresses
Primary practice location
Calle Julian Bengochea
#1232 San Martin
San Juan, PR 00924
Mailing address
39R Carr 190
Carolina, PR 00983-7430
Phone (787) 200-0567
Other names 1
- Mrs. Wilda Yomary Quinones Clemente
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1046 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT Community Health Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- San Juan, PR
- NPI 1275989253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1104792415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39R CARR 190",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009837430",
"telephone_number": "787-200-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE JULIAN BENGOCHEA",
"address_2": "#1232 SAN MARTIN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-200-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "WILDA",
"middle_name": "Y",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-14",
"last_updated": "2025-10-24",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PR",
"license": "1046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WILDA",
"last_name": "QUINONES CLEMENTE",
"middle_name": "YOMARY",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.