Individual provider Active NPI

Eleana Munoz Plata, PSYD

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1508557265
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6092 Issued in PR
Practice address
1135 Ave 65 Infanteria Ste 219B
San Juan, PR 00924-3485
Phone
(787) 367-8488
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6092 PR
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6092 PR Primary

Addresses

Primary practice location

1135 Ave 65 Infanteria Ste 219B
San Juan, PR 00924-3485

Mailing address

HN16 Ave El Comandante
Carolina, PR 00982-2776
Phone (787) 367-8488

Other practice location 1

Urb Hyde Park Calle Los Mirtos # 189
Apt # 2
San Juan, PR 00927
Phone (787) 367-8488

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
I20250911005142 PR Practitioner - Clinical Psychologist 5092218362 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Cond Plaza Iturregui Ofic 219
Ave 65 Infanteria KM4 HM5
San Juan, PR 00924-0000
Phone (787) 220-0559

PO Box
Mayaguez, PR 00681

Urb Country Club HN 16 Ave El
Carolina, PR 00982-2776

Urb Country Club HN 16 Ave El Comandante
Carolina, PR 00982-2776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1508557265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HN16 AVE EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822776",
            "telephone_number": "787-367-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 AVE 65 INFANTERIA STE 219B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243485",
            "telephone_number": "787-367-8488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb Hyde Park Calle Los Mirtos # 189",
            "address_2": "Apt # 2",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00927",
            "country_code": "US",
            "telephone_number": "787-367-8488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ PLATA",
        "first_name": "ELEANA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6092",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.