Active NPI
Ernesto Sanchez
- Psychologist
- Bayamon, PR
National Provider Identifier
1386071744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5207
- Practice address
- Carr 816 KM 5.8 Bo Nuevo
RR 11 Box 5829 PMB 56 Bo Nuevo
Bayamon, PR 00956-5829 - Phone
- (787) 477-0548
- NPI assigned
- Oct 1, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5207 | PR | Primary |
Addresses
Primary practice location
Carr 816 KM 5.8 Bo Nuevo
RR 11 Box 5829 PMB 56 Bo Nuevo
Bayamon, PR 00956-5829
Mailing address
Carr 816 KM 5.8 Bo Nuevo
RR 11 Box 5829 PMB 56 Bo Nuevo
Bayamon, PR 00956
Phone (787) 477-0548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171025002067 | PR | Practitioner - Clinical Psychologist | 8123394855 | Practice locations: Cayey, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5207 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1386071744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR 816 KM 5.8 BO NUEVO",
"address_2": "RR 11 BOX 5829 PMB 56 BO NUEVO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-477-0548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 816 KM 5.8 BO NUEVO",
"address_2": "RR 11 BOX 5829 PMB 56 BO NUEVO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009565829",
"telephone_number": "787-477-0548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "ERNESTO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-01",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.