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GLENDA L. BRAVO OTERO PSY.D
NPI 1003150301
Psychologist - Clinical in Aguadilla, PR

Active since November 27, 2012PECOS Enrolled
URB. SAN ANTONIO 345, CALLE AGUACATE SAN ANTONIO PR, AGUADILLA, PR 00690(787) 543-8953 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Glenda L. Bravo Otero Psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDA L. BRAVO OTERO PSY.D (NPI 1003150301) is an individual clinical provider in Aguadilla, Puerto Rico, licensed in Puerto Rico (6619) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Isabela.

NPPES Registry Identity

NPI1003150301
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameGLENDA L. BRAVO OTEROCredential: PSY.D
Location AddressURB. SAN ANTONIO 345, CALLE AGUACATE SAN ANTONIO PRAguadilla, PR 00690
Mailing AddressUrb. San Antonio 345, Calle Aguacate San Antonio PrAguadilla, PR 00690 · (787) 543-8953
Phone(787) 543-8953
Sole ProprietorYes
Enumeration DateNovember 27, 2012
Last NPPES UpdateSeptember 22, 2020
NPPES CertifiedSeptember 19, 2020
✔ NPI 1003150301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PR · 6619
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 10466 (PR)

Other Names 1

Former Name (1)Glenda Lia Bravo Otero Msw

Secondary Practice Location 1

Location 1Urb-Sol Y Mar 247Isabela, PR 00662 · Phone (787) 806-1687 · Fax (787) 806-1688

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenda L. Bravo Otero Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Glenda Bravo Otero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Migrant Health Center Western Region, Inc.
Federally Qualified Health Center (FQHC)
180 RES CANDELARIA # 186
Mayaguez, PR 00682
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 129 clinicians in this Medicare group
NPI 1104544378 (787) 908-1342

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00690 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenda Bravo Otero's NPI number?

The NPI number for Glenda Bravo Otero is 1003150301. It was assigned to this individual provider in the NPPES registry on November 27, 2012. The provider is also known as Glenda Lia Bravo Otero Msw.

Where is Glenda Bravo Otero located?

Glenda Bravo Otero practices at Urb. San Antonio 345 Calle Aguacate San Antonio Pr, Aguadilla, PR 00690. The listed phone number is (787) 543-8953.

What is Glenda Bravo Otero's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Glenda Bravo Otero enrolled in Medicare?

Yes. Glenda Bravo Otero is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Glenda Bravo Otero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenda Bravo Otero reassigns Medicare benefits to Migrant Health Center Western Region, Inc. (Mayaguez, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenda Bravo Otero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Glenda Bravo Otero was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.