Active NPI
Alina Jannette Quinones Santiago, PHD
- Clinical Psychologist
- Caguas, PR
National Provider Identifier
1477762292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1452
- Practice address
- A8 Ave Degetau
Bonneville Terrace
Caguas, PR 00725-9999 - Phone
- (787) 258-5697
- NPI assigned
- May 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1452 | PR | |
| Clinical Psychologist | 103TC0700X | 1452 | PR | Primary |
Addresses
Primary practice location
A8 Ave Degetau
Bonneville Terrace
Caguas, PR 00725-9999
Mailing address
PO Box 5703
Caguas, PR 00726-5703
Phone (787) 370-8257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1452 | Other | PR | JUNTA EXAMINADORA DE PSICOLOGOS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171002003275 | PR | Practitioner - Psychologist Billing Independently | 9133494107 | Practice locations: Caguas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1452 | PR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477762292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5703",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007265703",
"telephone_number": "787-370-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A8 AVE DEGETAU",
"address_2": "BONNEVILLE TERRACE",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007259999",
"telephone_number": "787-258-5697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES SANTIAGO",
"first_name": "ALINA",
"middle_name": "JANNETTE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1452",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JUNTA EXAMINADORA DE PSICOLOGOS",
"identifier": "1452",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.