Individual provider Active NPI

Antonia I Nieves Sanchez, PSYD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1467509521
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2344 Issued in PR
Practice address
396 Calle Dr Luis F. Salas
Urb Ind Reparada 2
Ponce, PR 00717
Phone
(787) 840-2575
Fax
(787) 840-5231
NPI assigned
Jan 4, 2007
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2344 PR Primary

Addresses

Primary practice location

396 Calle Dr Luis F. Salas
Urb Ind Reparada 2
Ponce, PR 00717

Mailing address

PO Box 7004
Ponce, PR 00732-7004
Phone (787) 840-2575

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070504000235 PR Practitioner - Clinical Psychologist 4183720386 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2344PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation Clinical CurrentSince Jul 1, 2015 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince Jul 1, 2015 Accepting new patients
Ponce Medical School Foundation Inc Past Accepting new patients
Arist Medical Sciences University, Public Benefit Corporation Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1467509521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7004",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-840-2575",
            "fax_number": "787-840-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 CALLE DR LUIS F. SALAS",
            "address_2": "URB IND REPARADA 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-840-2575",
            "fax_number": "787-840-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES SANCHEZ",
        "first_name": "ANTONIA",
        "middle_name": "I",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.