Healthcare Provider Details

I. General information

NPI: 1962326223
Provider Name (Legal Business Name): ALEXANDRA MICHELLE MONGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SOCIEDAD PRO HOSPITAL DEL NINO CARR 1490 KM0.6 MONACILLO
GUAYNABO PR
00966
US

IV. Provider business mailing address

COOP.CUIDAD UNIVERSITARIA AVE. PERIFERAL 2 APT.807B
TRUJILLO ALTO PR
00976-2133
US

V. Phone/Fax

Practice location:
  • Phone: 787-783-2226
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number6518
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: