Individual provider Active NPI

Sandra Ortiz-Gil, PH.D

  • Clinical Psychologist
  • Carolina, PR
National Provider Identifier
1902127467
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3335 Issued in PR
Practice address
Calle Antonio Jimenez Landrau #90
Carolina, PR 00979
Phone
(787) 944-4411
NPI assigned
Jun 18, 2010
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3335 PR Primary
Psychologist 103T00000X 3335 PR

Addresses

Primary practice location

Calle Antonio Jimenez Landrau #90
Carolina, PR 00979

Mailing address

Calle Los Astros #62
Urb. Los Angeles
Carolina, PR 00979-1727
Phone (787) 618-8020

Other identifiers 2

IdentifierTypeStateIssuer
038970700MedicaidPR
7496OtherPRHUMANA

Other names 1

  • Dr. Sandra Ortiz-Gil Professional name

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
I20180329000604 PR Practitioner - Clinical Psychologist 4082976113 Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Antonio Gimenez Landrau
Suite 90
Carolina, PR 00985
Phone (787) 618-8020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3335PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1902127467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE LOS ASTROS #62",
            "address_2": "URB. LOS ANGELES",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009791727",
            "telephone_number": "787-618-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ANTONIO JIMENEZ LANDRAU #90",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "787-944-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-GIL",
        "first_name": "SANDRA",
        "name_prefix": "Miss",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3335",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3335",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038970700",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7496",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "ORTIZ-GIL",
            "prefix": "DR.",
            "credential": "PH.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.