Centro de Apoyo Para El Desarrollo Integral del Individuo Y la Familia

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3285 Issued in PR

Legal business name

CENTRO DE APOYO PARA EL DESARROLLO INTEGRAL DEL INDIVIDUO Y LA FAMILIA

Practice address

1135 65 Intanteria Ave.
Iturregui Plaza Suite 207
San Juan, PR 00924-3489

Phone

(787) 640-0358

NPI assigned

May 28, 2014

Last updated

May 28, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sally Quinones, PSY.D

Title

Clinical Psychologist

Phone

(787) 640-0358

Specialties & licenses 1

Addresses

Other names 1

• CADIF Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1235541061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4025",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009844025",
            "telephone_number": "787-640-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 65 INTANTERIA AVE.",
            "address_2": "ITURREGUI PLAZA SUITE 207",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243489",
            "telephone_number": "787-640-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE APOYO PARA EL DESARROLLO INTEGRAL DEL INDIVIDUO Y LA FAMILIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-640-0358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CADIF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.