Individual provider Active NPI

Laura Cristal Hernandez Reyes

  • Clinical Psychologist
  • Santa Isabel, PR
National Provider Identifier
1639744535
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6649 Issued in PR
Practice address
KM HM 7.3 Carr 153 Plaza Santa Isabel
Local 15 B, Bo Jauca II
Santa Isabel, PR 00757
Phone
(939) 222-7598
NPI assigned
May 24, 2021
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6649 PR Primary

Addresses

Primary practice location

KM HM 7.3 Carr 153 Plaza Santa Isabel
Local 15 B, Bo Jauca II
Santa Isabel, PR 00757

Mailing address

KM HM 7.3 Carr 153 Plaza Santa Isabel
Local 15, Bo. Jauca II
Santa Isabel, PR 00757
Phone (939) 222-7598

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
I20251009004941 PR Practitioner - Clinical Psychologist 9931606381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16 Calle Caoba
Santa Isabel, PR 00757

Centro Comercial Plaza Santa Isabel
Suite 15
Santa Isabel, PR 00757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6649PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mente Sana LLC Clinical CurrentSince Sep 1, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1639744535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KM HM 7.3 CARR 153 PLAZA SANTA ISABEL",
            "address_2": "LOCAL 15, BO. JAUCA II",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "939-222-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KM HM 7.3 CARR 153 PLAZA SANTA ISABEL",
            "address_2": "LOCAL 15 B, BO JAUCA II",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "939-222-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ REYES",
        "first_name": "LAURA",
        "middle_name": "CRISTAL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

Verify at the official NPI Registry.