Active NPI
Bernardo Monserrat
- Counselor
- Santa Fe, NM
National Provider Identifier
1922285097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0368
- Practice address
- 505 Camino de Los Marquez
Santa Fe, NM 87505 - Phone
- (505) 490-1129
- Fax
- (505) 983-2373
- NPI assigned
- Jan 30, 2008
- Last updated
- Jan 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0368 | NM | Primary |
Addresses
Primary practice location
505 Camino de Los Marquez
Santa Fe, NM 87505
Mailing address
37 Herrada Rd
Santa Fe, NM 87508
Phone (505) 490-1129
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0368 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1922285097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 HERRADA RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87508",
"telephone_number": "505-490-1129",
"fax_number": "505-983-2373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 CAMINO DE LOS MARQUEZ",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87505",
"telephone_number": "505-490-1129",
"fax_number": "505-983-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONSERRAT",
"first_name": "BERNARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.