Mantis Wellness Center LLC
NPI 1972189298ActiveOrganization· Psychologist, Clinical· Bayamon, PR
Psychologist, Clinical in Bayamon, Puerto Rico, registered in NPPES in March 2021. The authorized official on file is Fernando Rodriguez Nieves, BA, Administrador. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972189298 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2021 |
| Last updated in NPPES | Mar 18, 2021 |
| Certified by provider | Feb 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Psychologist, Counseling | 103TC1900X | — | — |
| Psychologist, School | 103TS0200X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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