Giovanni Alomar Sastre, PHD
Individual provider Active NPI Clinical Psychologist · Coto Laurel, PR
NPI 1124758818 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1124758818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 7311 (PR)
- Practice address
- 3020 Ave San Cristobal
Coto Laurel, PR 00780-2896 - Phone
- (939) 835-7173
- NPI assigned
- Jun 15, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221119000094 | PR | Practitioner - Clinical Psychologist | 3274901749 | Practice locations: Ponce, PR; Coto Laurel, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7311 | PR | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Holistico Bienestar Mental | Past | Accepting new patients | |
| N & N Psychological Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7311 | PR | Yes |
Addresses
Primary practice location
3020 Ave San Cristobal
Coto Laurel, PR 00780-2896
Mailing address
1013 Los Flaboyanes
Coto Laurel, PR 00780-2240
Phone (787) 365-1260
Other providers in Coto Laurel, PR
- Jesmary Albert
- Angel L Alicea Ortiz
- Edzaida Raquel Alvarado Santana
- Angelis Alvarado
- Adrian Alexis Alvarez de la Campa
- Flor Del R Andreu Alicea
- Anesthesia Providers Group, P.S.C.
All providers in Coto Laurel, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.