Brendaly Garcia Morales

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5672 Issued in PR

Practice address

3326 Ave Boulevard
Tercera Seccion Urb Levittown
Toa Baja, PR 00949

Phone

(787) 784-7200

Fax

(787) 761-0613

NPI assigned

Sep 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blvd Psychological Services P.S.C.

  • Multi-Specialty Clinic/Center
  • Toa Baja, PR
  • NPI 1174023535

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1306395140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 PASEO CARMEN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493136",
            "telephone_number": "787-784-7200",
            "fax_number": "787-761-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 AVE BOULEVARD",
            "address_2": "TERCERA SECCION URB LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-784-7200",
            "fax_number": "787-761-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA MORALES",
        "first_name": "BRENDALY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5672",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Linette Garcia Bayon, OD
• Kayra Liss Garcia Gray
• Jose A Garcia Lugo Jr., M.D.
• Liz D Garcia Mendez, MS
• Arlene Giselle Garcia Miranda, PH.D.
• Amarilis Garcia
• Jose Luis Garcia, MD
• Juan E Garcia, MD
• Leiraly Gautier
• Genesis Rehabilitation Center Inc.

• Clinical Psychologist in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.