Healthcare Provider Details

I. General information

NPI: 1306159611
Provider Name (Legal Business Name): JAVIER MONTALVO-TORRES PSY. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2010
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GALERIA DEL NORTE 3ER PISO SUITE 301 CALLE DEL MAR 549
HATILLO PR
00659
US

IV. Provider business mailing address

HC-07 BOX 98324
ARECIBO PR
00612
US

V. Phone/Fax

Practice location:
  • Phone: 939-269-8602
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4293
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: