Jesus Alejandro Sanchez Dominguez, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7456 Issued in PR

Practice address

396 Zona Ind Reparada 2
Dr. Luis F. Sala
Ponce, PR 00716-2347

Phone

(787) 812-2525

NPI assigned

Jun 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tiber Health, Public Benefit Corporation

  • Dentist
  • Ponce, PR
  • NPI 1013734821
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1386261998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 URB. INDUSTRIAL REPARADA 2",
            "address_2": "396 DR. LUIS F. SALA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 ZONA IND REPARADA 2",
            "address_2": "DR. LUIS F. SALA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162347",
            "telephone_number": "787-812-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ DOMINGUEZ",
        "first_name": "JESUS",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sanabria
• Yiulette Leticia Sanchez Abrams, MD
• Yandy Sanchez Bravo
• Yariel Sanchez Courtney, MD
• Javier Omar Sanchez Diaz, PSYD
• Felipe Sanchez Gaetan, M.D.
• Jeriel Sanchez Lamboy, MD
• Gerardo Enrique Sanchez Navarro, BS
• Jorge E Sanchez Rivera
• Cristina Alexandra Sanchez Rizek

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, 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 Jul 8, 2022; 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.