Idalis Ramos Quintana, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

006269 Issued in PR

Practice address

Ave. Arcadio Estrada 4160
Suite 209
San Sebastian, PR 00685-0000

Phone

(787) 908-0908

Fax

(787) 777-1591

NPI assigned

Feb 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Idalis Ramos Quintana Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shapes PR LLC

  • Occupational Therapist
  • San Sebastian, PR
  • NPI 1750914008

  Psychologist

  NPD
• Shapes, Inc

  • Occupational Therapist
  • San Sebastian, PR
  • NPI 1700333515

  Psychologist

  NPD

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1306479647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 53385",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006855856",
            "telephone_number": "939-419-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ARCADIO ESTRADA 4160",
            "address_2": "SUITE 209",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850000",
            "telephone_number": "787-908-0908",
            "fax_number": "787-777-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS QUINTANA",
        "first_name": "IDALIS",
        "name_prefix": "Mrs.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "006269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IDALIS",
            "last_name": "RAMOS QUINTANA",
            "credential": "PSYCHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shakira Ramirez Torres
• Arlene Ramirez
• Karina I. Ramirez, PHARMD.
• Maria Emilia Ramirez, M.A.
• Ramon Calderon Acevedo
• Arelis Nieves Ramos, MD
• Carlos Ramos, M.D.
• Kareliz Marie Ramos
• Mayra Enid Ramos
• Sujeil Ramos, D.M.D.

• Psychologist in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.