Individual provider Active NPI

Ysabel C Quijano, PSY.D

  • Clinical Psychologist
  • Guaynabo, PR
National Provider Identifier
1851708069
Registry record updated Jul 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5534 Issued in PR
Practice address
111 Calle Cecilio Urbina
Cond. Portal de Sofia Apt 4005
Guaynabo, PR 00969-5958
Phone
(787) 667-5303
NPI assigned
Jul 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2014

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 5534 PR Primary

Addresses

Primary practice location

111 Calle Cecilio Urbina
Cond. Portal de Sofia Apt 4005
Guaynabo, PR 00969-5958

Mailing address

111 Calle Cecilio Urbina
Cond. Portal de Sofia Atp 4005
Guaynabo, PR 00969-5958
Phone (787) 667-5303

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

LicenseStateTypeSpecialty
5534PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1405814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405814400000",
    "number": "1851708069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CALLE CECILIO URBINA",
            "address_2": "COND. PORTAL DE SOFIA ATP 4005",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695958",
            "telephone_number": "787-667-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CALLE CECILIO URBINA",
            "address_2": "COND. PORTAL DE SOFIA APT 4005",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695958",
            "telephone_number": "787-667-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIJANO",
        "first_name": "YSABEL",
        "middle_name": "C",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-20",
        "last_updated": "2014-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.