Adianet Montanez, PSY D.

Individual provider Active NPI Clinical Psychologist · Yauco, PR

NPI 1013556240 · NPPES record last updated Jan 6, 2020

Key facts

NPI
1013556240
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
6520 (PR)
Practice address
Urb. Jardines de Borinquen A1
Yauco, PR 00698
Phone
(787) 526-6394
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200708000352 PR Practitioner - Clinical Psychologist 5890118954 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6520PRMDClinical Social Worker
006520PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Psicologicos Y Consultoria M&M CSP Clinical Current
since Jun 23, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103TC0700X 6520 PR Yes

Addresses

Primary practice location

Urb. Jardines de Borinquen A1
Yauco, PR 00698

Mailing address

PO Box 1268
Yauco, PR 00698-1268
Phone (787) 526-6394

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address adianet_9@hotmail.com

Other providers in Yauco, PR

All providers in Yauco, PR · Clinical Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.