Active NPI
Sonia N. Grajales-Tirado, D.
- Clinical Psychologist
- Caguas, PR
National Provider Identifier
1740401512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1856
- Practice address
- 32 Calle Acosta
Edificio Ysern, Suite 313
Caguas, PR 00725 - Phone
- (787) 653-7310
- Fax
- (787) 653-7310
- NPI assigned
- May 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1856 | PR | Primary |
Addresses
Primary practice location
32 Calle Acosta
Edificio Ysern, Suite 313
Caguas, PR 00725
Mailing address
A11 Calle Coral
Mansiones de Santa Barbara
Gurabo, PR 00778-5108
Phone (787) 653-7310
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3299 | Other | PR | APS HUMANA |
| 101584 | Other | PR | CRUZ AZUL |
| 579033 | Other | PR | FHC |
| A 173 | Other | PR | FIRST MEDICAL |
| 219134 | Other | PR | PREFERRED HEALTH |
| 2325855 | Other | PR | CIGNA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110121000804 | PR | Practitioner - Clinical Psychologist | 1850570912 | Practice locations: Caguas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1856 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrando Centro Evaluativo Y Terapeutico | Clinical | Current | Accepting new patients |
Locations
E9 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 653-7310
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.
-
- Clinical Psychologist
- Caguas, PR
- NPI 1053038695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1740401512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A11 CALLE CORAL",
"address_2": "MANSIONES DE SANTA BARBARA",
"city": "GURABO",
"state": "PR",
"postal_code": "007785108",
"telephone_number": "787-653-7310",
"fax_number": "787-653-7310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 CALLE ACOSTA",
"address_2": "EDIFICIO YSERN, SUITE 313",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-653-7310",
"fax_number": "787-653-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAJALES-TIRADO",
"first_name": "SONIA",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HUMANA",
"identifier": "3299",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "101584",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FHC",
"identifier": "579033",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "A 173",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "219134",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2325855",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.