Individual provider Active NPI

Florecita Quiles-Giovannetti, M.D.

  • Clinical Psychologist
  • Dorado, PR
National Provider Identifier
1710906201
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2498 Issued in PR
Practice address
410 Calle Mendez Vigo
203 Suite
Dorado, PR 00646-4800
Phone
(787) 312-9080
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 2498 PR Primary

Addresses

Primary practice location

410 Calle Mendez Vigo
203 Suite
Dorado, PR 00646-4800

Mailing address

PO Box 2020
PMB 202
Barceloneta, PR 00617-2020
Phone (787) 312-9080

Other identifiers 7

IdentifierTypeStateIssuer
219055OtherPRPREFERRED HEALTH
3049OtherPRAPS - HUMANA Y MMM
2241317OtherPRCIGNA
552765OtherPRF H C - PR
100899OtherPRLA CRUZ AZUL DE PR
57312OtherPRTRIPLE S
A300OtherPRFIRST MEDICAL

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
I20051020000187 PR Practitioner - Clinical Psychologist 2567488455 Practice locations: Dorado, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ponce School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 Calle Mendez Vigo
Suite 203
Dorado, PR 00646-4801

Calle Mendez Vigo
410 Office 203
Dorado, PR 00646
Phone (787) 312-9080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2498PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1710906201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020",
            "address_2": "PMB 202",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172020",
            "telephone_number": "787-312-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CALLE MENDEZ VIGO",
            "address_2": "203 SUITE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464800",
            "telephone_number": "787-312-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILES-GIOVANNETTI",
        "first_name": "FLORECITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "219055",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS - HUMANA Y MMM",
            "identifier": "3049",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2241317",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "F H C - PR",
            "identifier": "552765",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PR",
            "identifier": "100899",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "57312",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "A300",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.