Active NPI
Gerardo Sanchez Sr.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1811310402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3164
- Practice address
- McLeary #1801 Apt. #403
Cond. Beach Court
San Juan, PR 00911-0000 - Phone
- (787) 667-2942
- NPI assigned
- Feb 3, 2014
- Sex
- Male
- 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 | 3164 | PR | Primary |
Addresses
Primary practice location
McLeary #1801 Apt. #403
Cond. Beach Court
San Juan, PR 00911-0000
Mailing address
McLeary #1801 Apt. #403
Cond. Beach Court
San Juan, PR 00911-0000
Phone (787) 667-2942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3164 | Other | PR | LIC.# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3164 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1811310402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MCLEARY #1801 APT. #403",
"address_2": "COND. BEACH COURT",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009110000",
"telephone_number": "787-667-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MCLEARY #1801 APT. #403",
"address_2": "COND. BEACH COURT",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009110000",
"telephone_number": "787-667-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "GERARDO",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-03",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC.#",
"identifier": "3164",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.