Active NPI
Myladie Martinez Quiles
- Counseling Psychologist
- Anasco, PR
National Provider Identifier
1669845350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3259
- Practice address
- Valley Hills Professional Center
Local 5 Carr 402 KM 2.9
Anasco, PR 00610-2017 - Phone
- (787) 400-5484
- NPI assigned
- Nov 4, 2015
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3259 | PR | Primary |
| School Psychologist | 103TS0200X | 3259 | PR |
Addresses
Primary practice location
Valley Hills Professional Center
Local 5 Carr 402 KM 2.9
Anasco, PR 00610-2017
Mailing address
Ave. Hostos 2625
Mayaguez, PR 00682-6326
Phone (787) 923-0019
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienestar Emocional | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Mayaguez, PR
- NPI 1437548583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1669845350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE. HOSTOS 2625",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006826326",
"telephone_number": "787-923-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VALLEY HILLS PROFESSIONAL CENTER",
"address_2": "LOCAL 5 CARR 402 KM 2.9",
"city": "ANASCO",
"state": "PR",
"postal_code": "006102017",
"telephone_number": "787-400-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ QUILES",
"first_name": "MYLADIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2023-07-20",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "3259",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "3259",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anasco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.