| Doctor Name: | SANDRA I QUILES |
| NPI Number: | 1003954058 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYCHOLOGIST |
| License Number: | 432 |
| Business Practice Address: | Ave Santa Juanita M-70 Ofc. #1 Bayamon, PR - 00956 |
| Business Phone Number: | 7874496863 |
| Business Fax Number: | |
| Mailing Address: | Cond Condado Del Mar, Ave Ashford 1474, Apt 2001 SAN JUAN |
| State: | PR |
| Postal Code: | 009071538 |
| Phone Number: | 7874496863 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 12/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 432 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |