Individual provider Active NPI

Juanita M. Sanabria Ramos, PSY. D.

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1619908068
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1706 Issued in PR
Practice address
30 Calle Padial
Office 314
Caguas, PR 00725-3807
Phone
(787) 703-0655
Fax
(787) 703-0655
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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 1706 PR Primary

Addresses

Primary practice location

30 Calle Padial
Office 314
Caguas, PR 00725-3807

Mailing address

78 Via Miradero
Hacienda San Jose
Caguas, PR 00727-3007
Phone (787) 703-0655

Other identifiers 5

IdentifierTypeStateIssuer
53530OtherPRTRIPLE S
219089OtherPRPREFERRED MEDICAL
2732OtherPRHUMANA APS
464705OtherPRFHC
100814OtherPRCRUZ AZUL

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
I20031124000353 PR Practitioner - Clinical Psychologist 3072417708 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Calle Padial
Suite 314
Caguas, PR 00725-3840
Phone (787) 703-0655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1619908068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 VIA MIRADERO",
            "address_2": "HACIENDA SAN JOSE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273007",
            "telephone_number": "787-703-0655",
            "fax_number": "787-703-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE PADIAL",
            "address_2": "OFFICE 314",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253807",
            "telephone_number": "787-703-0655",
            "fax_number": "787-703-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANABRIA RAMOS",
        "first_name": "JUANITA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "53530",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICAL",
            "identifier": "219089",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA APS",
            "identifier": "2732",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHC",
            "identifier": "464705",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "100814",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.