Individual provider Active NPI

Karen Zachary Quinones Sanchez, PSYD

  • Clinical Psychologist
  • Fajardo, PR
National Provider Identifier
1699243972
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6113 Issued in PR
Practice address
Torre Medica San Pablo Piso 5
Suite 504
Fajardo, PR 00738
Phone
(787) 639-8894
NPI assigned
Nov 5, 2018
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 6113 PR Primary

Addresses

Primary practice location

Torre Medica San Pablo Piso 5
Suite 504
Fajardo, PR 00738

Mailing address

20 Ave Luis Munoz Marin
Caguas, PR 00725-1956
Phone (787) 719-5975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718003963 PR Practitioner - Psychologist Billing Independently 1759762073 Practice locations: Fajardo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6113PRMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Servicios Psicologicos Despertar LLC CurrentSince Jun 12, 2022 Accepting new patients
Psicologia Avanzada LLC PastSince Sep 15, 2016 Accepting new patients

Locations

20 Ave Luis Munoz Marin
Caguas, PR 00725

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, 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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1699243972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251956",
            "telephone_number": "787-719-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA SAN PABLO PISO 5",
            "address_2": "SUITE 504",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-639-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES SANCHEZ",
        "first_name": "KAREN",
        "middle_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.

Verify at the official NPI Registry.