Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Los Angeles Medical Health Clinic

Organization Clinical Psychologist · NPI 1003011479

Los Angeles Medical Health Clinic is a Clinical Psychologist in San Juan, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2007.

Licensed in
PR
In the registry since
2007
Specialties on file
8

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

1400 Calle San Rafael Ste 201
San Juan, PR 00909-2693
Phone: (787) 721-6626
Fax: (787) 725-1287

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 010561 (PR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1820 (PR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0070 (PR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 011058 (PR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 9251 (PR)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 4847 (PR)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 8908 (PR)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 15909 (PR)

Record details

NPI number1003011479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Matos — Billing Supervisor · (787) 721-6626
Other names Los Angeles Medical Health Clinic
NPI enumeratedJune 18, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1400 Calle San Rafael, Suite 201, San Juan, PR 00909-2693

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