Individual provider Active NPI

Carmen Minerva Quinones

  • Clinical Psychologist
  • Yauco, PR
National Provider Identifier
1801454616
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2889 Issued in PR
Practice address
Carr 368 KM 12.7 Bo. Susua Baja
Yauco, PR 00698-0069
Phone
(787) 515-7426
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2889 PR
Clinical Psychologist 103TC0700X 2889 PR Primary

Addresses

Primary practice location

Carr 368 KM 12.7 Bo. Susua Baja
Yauco, PR 00698-0069

Mailing address

PO Box 5201
Yauco, PR 00698-5201

Other practice location 1

713 Caribbean St
Yauco, PR 00698-2867
Phone (787) 473-4712

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
I20200925001165 PR Practitioner - Clinical Psychologist 3971835935 Reassigns benefits to 1 organization
Practice locations: Yauco, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2889PRMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dra Carmen M Quinones Santaigo CSP Clinical CurrentSince Aug 1, 2025 Accepting new patients

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1801454616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5201",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006985201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 368 KM 12.7 BO. SUSUA BAJA",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980069",
            "telephone_number": "787-515-7426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Caribbean St",
            "address_purpose": "LOCATION",
            "city": "Yauco",
            "state": "PR",
            "postal_code": "006982867",
            "country_code": "US",
            "telephone_number": "787-473-4712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "CARMEN",
        "middle_name": "MINERVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2889",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.