MEDICARE: GRACE KELLY QUINTAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	7232	PR

General Provider Information

NPI Number	:	1528713914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE KELLY QUINTAS

Provider Business Mailing Address
First Line	:	PMB 224
Second Line	:	609 AVE TITO CASTRO STE 102
City	:	PONCE
State	:	PR
Zip	:	00716-0200
Country	:	US
Telephone Number	:	787-813-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	LEGACY OFFICE PARK
Second Line	:	SUITE 102 COTO LAUREL
City	:	PONCE
State	:	PR
Zip	:	00780-9998
Country	:	US
Telephone Number	:	787-813-2222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2022
Last Update Date	:	05/28/2026

Similar Medicare Providers

1205228459 — MRS. NICKOLE J BERRIOS-SANTIAGO
Practice Location Address:

506 COTO LAUREL, CARR. MARGINAL , LEGACY OFFICE PARK SUITE 102
PONCE, PR
00780-9998

Practice Phone: 787-813-2222
Practice Fax:

1356380786 — SAN JUAN VAMC
Practice Location Address:

1802 CALLE NAVARRA
PONCE, PR
00716-9998

Practice Phone: 866-793-4591
Practice Fax:

1881521995 — CARDIOCARIBE LLC
Practice Location Address:

TORRE MEDICA SAN CRISTOBAL SUITE 407-B , CARR 506 KM 1.0
PONCE, PR
00780-2681

Practice Phone: 787-843-0002
Practice Fax:

1609835230 — DR. ARLENE IRIZARRY MD
Practice Location Address:

ROAD 509 , COTTO LAUREL
PONCE, PR
00780-6205

Practice Phone: 787-999-0753
Practice Fax: 787-999-0790

1023063104 — MR. GABRIEL MARTINEZ-RODRIGUEZ MD
Practice Location Address:

SAN CRISTOBAL ANEXO TORRE I
PONCE, PR
00780

Practice Phone: 787-848-2100
Practice Fax: 787-813-1836

1639194640 — DR. JORGE E LLUVERAS M. D.
Practice Location Address:

CARR 506 , SUITE 210 TORRE SAN CRISTOBAL
PONCE, PR
00780

Practice Phone: 787-840-8580
Practice Fax:

Directions to “ GRACE KELLY QUINTAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.