Individual provider Active NPI

Doelis Marie Sanabria, DOCTOR

  • Clinical Psychologist
  • Mayaguez, PR
National Provider Identifier
1700698800
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7750 Issued in PR
Practice address
Medical Center Plaza 740
Ave Hostos Suite 202
Mayaguez, PR 00682-1540
Phone
(939) 645-5995
NPI assigned
Jan 24, 2025
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 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 7750 PR Primary

Addresses

Primary practice location

Medical Center Plaza 740
Ave Hostos Suite 202
Mayaguez, PR 00682-1540

Mailing address

Medical Center Plaza 740
Ave Hostos Suite 202
Mayaguez, PR 00682-1540
Phone (939) 645-5995

Other names 1

  • Doelis Marie Sanabria Professional name

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

State licenses

LicenseStateTypeSpecialty
7750PRMDForensic Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1700698800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER PLAZA 740",
            "address_2": "AVE HOSTOS SUITE 202",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821540",
            "telephone_number": "939-645-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER PLAZA 740",
            "address_2": "AVE HOSTOS SUITE 202",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821540",
            "telephone_number": "939-645-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANABRIA",
        "first_name": "DOELIS",
        "middle_name": "MARIE",
        "credential": "DOCTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOELIS",
            "last_name": "SANABRIA",
            "middle_name": "MARIE",
            "credential": "DOCTOR PSYCHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.