Psiquiatria Puerto Rico LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PSIQUIATRIA PUERTO RICO LLC

Practice address

Moca Medical Plaza Suite 217
Carr 125 KM 5.2
Moca, PR 00676

Phone

(787) 658-6868

NPI assigned

Jan 30, 2025

Organization subpart

No

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

Authorized official

Name

Elvin G Hernandez, MD

Title

Presidente/Psiquiatra

Phone

(787) 658-6868

Specialties & licenses 1

Addresses

Other names 1

• PSIQUIATRIA PUERTO RICO LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elvin G. Hernandez Crespo, M.D.

  • Psychiatry Physician
  • Mayaguez, PR
  • NPI 1255541579
  Medicare reassignment NPD

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1245043470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 2650",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006109409",
            "telephone_number": "787-658-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOCA MEDICAL PLAZA SUITE 217",
            "address_2": "CARR 125 KM 5.2",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-658-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSIQUIATRIA PUERTO RICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ELVIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENTE/PSIQUIATRA",
        "authorized_official_telephone_number": "787-658-6868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSIQUIATRIA PUERTO RICO LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnny Pitre, RN
• Pres Ambulance L.L.C.
• Primary Health Center, PSC
• Psicosynapse Integral LLC
• Psidep LLC
• Puerto Rico Emergency Services Pres Inc
• Pura Vida Medical Group
• Eric M Quinones Medina Sr.
• Melissa Quintana
• Radioimagenes Diagnosticas

• Mental Health Clinic/Center (Including Community Mental Health Center) in Moca, PR
• Providers in Moca, PR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.