Brenda Liz Quintana Montalvo, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5707 Issued in PR

Practice address

66 Calle MJ Cabrero
San Sebastian, PR 00685-4843

Phone

(787) 955-0270

Fax

(787) 955-0270

NPI assigned

Nov 2, 2016

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Psy Clinic LLC

  • Clinic/Center
  • Coto Laurel, PR
  • NPI 1366930133
  NPD (past)

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1356893788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851100",
            "telephone_number": "787-400-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE MJ CABRERO",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006854843",
            "telephone_number": "787-955-0270",
            "fax_number": "787-955-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA MONTALVO",
        "first_name": "BRENDA",
        "middle_name": "LIZ",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "5707",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emeterio A Quinones, MD
• Cristina Mari Quintana Baez
• Marieliz Enid Quintana Baez
• Myrta Y Quintana Latorre, MD
• Quintana Medical Transport Inc
• Nicole Quintana, DMD
• Jose E Rabell, DDS
• David Raczynski, LCSW
• Paola Raffols de Jesus, MD
• Shakira Ramirez Torres

• Clinical Psychologist in San Sebastian, PR
• Providers in San Sebastian, 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 Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.