Elvis Candelaria Sanchez, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7129 Issued in PR

Practice address

90 Calle Alondra
65 Infanteria, Plaza 65 Shopping Center Suite 30
San Juan, PUERTO RICO 00924-3254
UM

Phone

(787) 377-2035

NPI assigned

Mar 31, 2022

Last updated

Mar 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mi Cuidado Emocional, LLC

  • Clinical Psychologist
  • NPI 1740069277
  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1811637382",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "RR 02 BOX 6292",
            "city": "MANATI",
            "state": "PUERTO RICO",
            "postal_code": "00674"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "90 CALLE ALONDRA",
            "address_2": "65 INFANTERIA, PLAZA 65 SHOPPING CENTER SUITE 30",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "009243254",
            "telephone_number": "787-377-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIA SANCHEZ",
        "first_name": "ELVIS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.