MANTIS WELLNESS CENTER LLC
NPI 1972189298
Psychologist - Clinical in Bayamon, PR

Q: What is Mantis Wellness Center LLC's NPI number?

The NPI number for Mantis Wellness Center LLC is 1972189298. It was assigned to this organization in the NPPES registry on March 18, 2021.

Q: What is Mantis Wellness Center LLC's specialty?

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

Active since March 18, 2021

URB FLAMINGO TERRACE A7 MARG 167, BAYAMON, PR 00957(787) 981-3037 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mantis Wellness Center Llc NPPES

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

MANTIS WELLNESS CENTER LLC (NPI 1972189298) is a healthcare organization registered as a clinical in Bayamon, Puerto Rico and active in the NPI registry since March 2021. The organization lists Fernando Rodriguez Nieves, Administrador, as its authorized official.

NPPES Registry Identity

NPI1972189298

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMANTIS WELLNESS CENTER LLC

Location AddressURB FLAMINGO TERRACE A7 MARG 167Bayamon, PR 00957

Mailing AddressUrb Flamingo Terrace A7 Marg 167Bayamon, PR 00957 · (787) 981-3037

Phone(787) 981-3037

Organization SubpartNo

Authorized OfficialFernando Rodriguez NievesAdministrador · (787) 360-9657

Enumeration DateMarch 18, 2021

NPPES CertifiedFebruary 3, 2021

✔ NPI 1972189298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedPsychologist · SchoolTaxonomy 103TS0200X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mantis Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mantis Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisandra Gonzalez-Ramos, PSYD

Clinical Psychologist

NPI 1114264926

URB. FLAMINGO TERRACE A7 MARGINAL CARR167
Bayamon, PR 00957

(879) 813-0377

✔ PECOS

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

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 Mantis Wellness Center LLC's NPI number?

The NPI number for Mantis Wellness Center LLC is 1972189298. It was assigned to this organization in the NPPES registry on March 18, 2021.

Where is Mantis Wellness Center LLC located?

Mantis Wellness Center LLC is located at Urb Flamingo Terrace A7 Marg 167, Bayamon, PR 00957. The listed phone number is (787) 981-3037.

What is Mantis Wellness Center LLC's specialty?

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

Is Mantis Wellness Center LLC enrolled in Medicare?

Yes. Mantis Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mantis Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mantis Wellness Center LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mantis Wellness Center LLC was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.