Active NPI
Maria De Los Angeles Quintana, PSY.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1295926657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 953
- Practice address
- 216 Calle Pintor Campeche
Urb. Baldrich
San Juan, PR 00918-4316 - Phone
- (787) 612-4747
- NPI assigned
- Aug 9, 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 | 953 | PR | Primary |
Addresses
Primary practice location
216 Calle Pintor Campeche
Urb. Baldrich
San Juan, PR 00918-4316
Mailing address
216 Calle Pintor Campeche
Urb. Baldrich
San Juan, PR 00918-4316
Phone (787) 612-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953 | Other | PR | PSICOLOGIST LICENSE |
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 |
|---|---|---|---|
| 953 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1295926657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 CALLE PINTOR CAMPECHE",
"address_2": "URB. BALDRICH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009184316",
"telephone_number": "787-612-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 CALLE PINTOR CAMPECHE",
"address_2": "URB. BALDRICH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009184316",
"telephone_number": "787-612-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "MARIA",
"middle_name": "DE LOS ANGELES",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSICOLOGIST LICENSE",
"identifier": "953",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}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 Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.