Active NPI
Mabel E. Quinones Vazquez, PHD
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1457374001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3340
- Practice address
- 10 Casia St
Veterans Administration Medical Center
San Juan, PR 00921-3201 - Phone
- (787) 641-7582
- NPI assigned
- Jul 25, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 013115 | NY | |
| Psychologist | 103T00000X | 3340 | PR | |
| Clinical Psychologist | 103TC0700X | 3340 | PR | Primary |
| Clinical Psychologist | 103TC0700X | 013115-1 | NY |
Addresses
Primary practice location
10 Casia St
Veterans Administration Medical Center
San Juan, PR 00921-3201
Mailing address
10 Casia St
Veterans Administration Medical Center
San Juan, PR 00921-3201
Phone (787) 641-7582
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013115-1 | NY | MD | Clinical Psychologist |
| 013115 | NY | MD | Chiropractor |
| 3340 | PR | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Medical Center | Past | Accepting new patients | |
| Beth Israel Medical Center Psychiatry & Behavioral Science | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1275624199
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1477582476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1457374001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CASIA ST",
"address_2": "VETERANS ADMINISTRATION MEDICAL CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213201",
"telephone_number": "787-641-7582",
"fax_number": "787-641-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CASIA ST",
"address_2": "VETERANS ADMINISTRATION MEDICAL CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213201",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES VAZQUEZ",
"first_name": "MABEL",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "013115",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "3340",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3340",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "013115-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Roshely Quinones Rodriguez, PHD
- Nashalie Quinones Santos
- Eduardo Andres Quinones Silva
- Jose David Quinones Soto
- Kaylisha Lymari Quinones Soto
- Sally Quinones- Rodriguez, PSY.D
- Areliz Quinones-Berrios
- Dayna Quinones-Burgos, PHARMD
- Eric A Quinones-Cordero, M.D.
- Carla Michelle Quinones-Jurgensen, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.