Organization Active NPI

Clinica Psicologica Metanoia LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San German, PR
National Provider Identifier
1851102008
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLINICA PSICOLOGICA METANOIA LLC
Practice address
San German Medical Plaza
201 Carr #2 KM 174
San German, PR 00683
Phone
(787) 458-5095
NPI assigned
Jan 16, 2025
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Angelivette Mercado Munoz, PSYDNPI 1811631831
Title
Presidente
Phone
(787) 458-5095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

San German Medical Plaza
201 Carr #2 KM 174
San German, PR 00683

Mailing address

HC 3 Box 25718
San German, PR 00683-9353
Phone (787) 458-5095

National Provider Directory

National Provider Directory

Locations

25718 HC 3
San German, PR 00683

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1851102008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 25718",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839353",
            "telephone_number": "787-458-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN GERMAN MEDICAL PLAZA",
            "address_2": "201 CARR #2 KM 174",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-458-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA PSICOLOGICA METANOIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "MERCADO MUNOZ",
        "authorized_official_first_name": "ANGELIVETTE",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-458-5095",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.