Active NPI
Mirelis Joan Montalvo Gonzalez
- Speech-Language Pathologist
- Arecibo, PR
National Provider Identifier
1023992831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6044
- Practice address
- Arecibo, Ave. Catalina KM 2.4 Parcela #3
Arecibo, PR 00612 - Phone
- (939) 366-0190
- NPI assigned
- Aug 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6044 | PR | Primary |
Addresses
Primary practice location
Arecibo, Ave. Catalina KM 2.4 Parcela #3
Arecibo, PR 00612
Mailing address
Urb. Alturas 2 Calle 11 L-1
Penuelas, PR 00624
Phone (939) 366-0190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6044 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1023992831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. ALTURAS 2 CALLE 11 L-1",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "939-366-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ARECIBO, AVE. CATALINA KM 2.4 PARCELA #3",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "939-366-0190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALVO GONZALEZ",
"first_name": "MIRELIS",
"middle_name": "JOAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-04",
"last_updated": "2025-08-04",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "6044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.