NPIMap

Organization Active NPI

Clinica Hernandez Y Montalvo, LLC.

  • Clinical Psychologist
  • Bayamon, PR
National Provider Identifier
1487048468
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5498 Issued in PW
Legal business name
CLINICA HERNANDEZ Y MONTALVO, LLC.
Practice address
11-16 Carr 174
Bayamon, PR 00959-6609
Phone
(787) 510-7400
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Dr. Gladys Y Montalvo, PSY.D
Title
Vice-President
Phone
(787) 310-8890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 5498 PW Primary

Addresses

Primary practice location

11-16 Carr 174
Bayamon, PR 00959-6609

Mailing address

11-16 Carr 174
Bayamon, PR 00959-6609
Phone (787) 510-7400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1487048468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-16 CARR 174",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596609",
            "telephone_number": "787-510-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-16 CARR 174",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596609",
            "telephone_number": "787-510-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA HERNANDEZ Y MONTALVO, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "787-310-8890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PW",
            "license": "5498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.