Individual provider Active NPI

Sonia N. Grajales-Tirado, D.

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1740401512
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1856 Issued in PR
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

Updated by the provider on May 7, 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 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

IdentifierTypeStateIssuer
3299OtherPRAPS HUMANA
101584OtherPRCRUZ AZUL
579033OtherPRFHC
A 173OtherPRFIRST MEDICAL
219134OtherPRPREFERRED HEALTH
2325855OtherPRCIGNA

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
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

LicenseStateTypeSpecialty
1856PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrando Centro Evaluativo Y Terapeutico Clinical CurrentSince Oct 30, 2022 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.

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

Verify at the official NPI Registry.