Ednaliz Camacho Montes

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5646 Issued in PR

Practice address

Urb Brisas del Mar
14 Calle Isaac
Arroyo, PR 00714

Phone

(787) 597-7967

NPI assigned

May 17, 2018

Last updated

May 17, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ednaliz Camacho Montes

  • Adolescent and Children Mental Health Clinic/Center
  • Guayama, PR
  • NPI 1235528209
  Authorized official Same address or phone
• Clinica Psicologica del Sureste LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Guayama, PR
  • NPI 1619821949
  NPD

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1811487531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB BRISAS DEL MAR",
            "address_2": "14 CALLE ISAAC",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-597-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB BRISAS DEL MAR",
            "address_2": "14 CALLE ISAAC",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-597-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO MONTES",
        "first_name": "EDNALIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damaris Arroyo Amaro
• Larry Bernier Gonzalez, MD
• Milagros Bones-Ortiz
• Leslie Ann Borrero, MA
• Jose Alberto Burgos Gonzalez, MD
• Abigail Caraballo, DMD
• Islaine Mari Carmona-Santiago
• Sheila Casanova
• Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc.
• Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc. (Centro De Salud Familiar Arroyo)

• Psychologist in Arroyo, PR
• Providers in Arroyo, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.