Individual provider Active NPI

Kelvin L Morales Millan, PHD

  • Clinical Neuropsychologist
  • San Juan, PR
National Provider Identifier
1497433197
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
8209 Issued in PR
Practice address
602 Ave Munoz Rivera Ste 206
San Juan, PR 00918-3625
Phone
(939) 380-5346
NPI assigned
Jul 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8209 PR
Clinical Neuropsychologist 103G00000X 8209 PR Primary

Addresses

Primary practice location

602 Ave Munoz Rivera Ste 206
San Juan, PR 00918-3625

Mailing address

602 Ave Munoz Rivera Ste 206
San Juan, PR 00918-3625
Phone (939) 380-5346

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250516000035 PR Practitioner - Clinical Psychologist 7315465077 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8209PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Psicologico Ilo SE LLC Clinical CurrentSince Feb 23, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1497433197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 AVE MUNOZ RIVERA STE 206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183625",
            "telephone_number": "939-380-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 AVE MUNOZ RIVERA STE 206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183625",
            "telephone_number": "939-380-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES MILLAN",
        "first_name": "KELVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8209",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "8209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.