Ednaliz Camacho Montes

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

5646 Issued in PR

Legal business name

EDNALIZ CAMACHO MONTES

Practice address

3 Ave Los Veteranos B14
Villa Rosa
Guayama, PR 00784

Phone

(787) 484-4168

NPI assigned

Jan 14, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ednaliz Camacho Montes, M.A.

Title

Psycological Counselor

Phone

(787) 597-7967

Specialties & licenses 2

Addresses

Other names 1

• Clinica Pies Descalzos Other name

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1235528209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 2329",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007077418",
            "telephone_number": "785-977-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AVE LOS VETERANOS B14",
            "address_2": "VILLA ROSA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-484-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNALIZ CAMACHO MONTES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "CAMACHO MONTES",
        "authorized_official_first_name": "EDNALIZ",
        "authorized_official_title_or_position": "PSYCOLOGICAL COUNSELOR",
        "authorized_official_telephone_number": "787-597-7967",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "5646",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PR",
            "license": "5646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Pies Descalzos",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dr. Emilio Paez Chiropractic Center, PSC.
• Drellorens LLC
• Alexis Duprey Colon, MD
• Duque Medical Services, LLC
• Dimaris Echevarria, PSY.D
• Yania Ivelisse Enriquez, M. PSY.
• Manuel R Espinosa McCloskey, MD
• Essential Medicine Inc,
• Esteban J. Linares Martin
• Excellence Emergency Group CSP

• All providers in Guayama, PR
• Adolescent and Children Mental Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.