Individual
GRACE KELLY QUINTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LEGACY OFFICE PARK, SUITE 102 COTO LAUREL, PONCE, PR 00780-9998
(787) 813-2222
Mailing address
PMB 224, 609 AVE TITO CASTRO STE 102, PONCE, PR 00716-0200
(787) 813-2222
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7232
PR
103TS0200X
School Psychologist
Primary
7232
PR
Other
Enumeration date
02/15/2022
Last updated
05/28/2026
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