Individual provider Active NPI

Luis Kelian Hernandez Muniz, PSYD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1003384744
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7364 Issued in PR
Practice address
2178 Blvd Luis a Ferre
Ponce, PR 00717-0722
Phone
(787) 813-5700
NPI assigned
Nov 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 7364 PR Primary

Addresses

Primary practice location

2178 Blvd Luis a Ferre
Ponce, PR 00717-0722

Mailing address

311 Calle Gardenia
Coto Laurel, PR 00780-2821
Phone (787) 813-5700

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
I20220802000078 PR Practitioner - Clinical Psychologist 1850773227 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7364PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dualidad Consciente LLC Clinical CurrentSince May 19, 2026 Accepting new patients
Tiber Health, Public Benefit Corporation PastSince Sep 29, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1003384744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CALLE GARDENIA",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802821",
            "telephone_number": "787-813-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 BLVD LUIS A FERRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170722",
            "telephone_number": "787-813-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ MUNIZ",
        "first_name": "LUIS",
        "middle_name": "KELIAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-12",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.