Individual provider Active NPI

Leslie Ann Hernandez Montanez, PSY. D.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1912333899
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7007 Issued in PR
Practice address
1519 Ave Ponce de Leon Ste 811
San Juan, PR 00909-1719
Phone
(787) 358-5633
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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 7007 PR Primary

Addresses

Primary practice location

1519 Ave Ponce de Leon Ste 811
San Juan, PR 00909-1719

Mailing address

Urb El Jardin Calle 2a Casa B31
Guaynabo, PR 00969-1719
Phone (787) 358-5633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7007PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1912333899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB EL JARDIN CALLE 2A CASA B31",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009691719",
            "telephone_number": "787-358-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 AVE PONCE DE LEON STE 811",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091719",
            "telephone_number": "787-358-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ MONTANEZ",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2022-08-08",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.