Individual provider Active NPI

Esther M. Yanes, PSY.D

  • Clinical Psychologist
  • Santurce, PR
National Provider Identifier
1710914601
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2616 Issued in PR
Practice address
San Juan Health Ctr
Suite 710, 150 de Diego Avenue
Santurce, PR 00907-2300
Phone
(787) 647-7155
NPI assigned
Jun 27, 2006
Last updated
May 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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 2616 PR Primary

Addresses

Primary practice location

San Juan Health Ctr
Suite 710, 150 de Diego Avenue
Santurce, PR 00907-2300

Mailing address

Cond. Plaza Universidad 2000
839 C/Anasco Apto. 2010
San Juan, PR 00925
Phone (787) 647-7155

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
I20100929000318 PR Practitioner - Clinical Psychologist 0446376263 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

954 Giramar Plaza Ave Ponce de Leon
Suite 306
San Juan, PR 00907
Phone (787) 647-7155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2616PRMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1710914601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. PLAZA UNIVERSIDAD 2000",
            "address_2": "839 C/ANASCO APTO. 2010",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-647-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JUAN HEALTH CTR",
            "address_2": "SUITE 710, 150 DE DIEGO AVENUE",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009072300",
            "telephone_number": "787-647-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANES",
        "first_name": "ESTHER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.