Centro de Salud Mental Integrado PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CENTRO DE SALUD MENTAL INTEGRADO PSC

Practice address

1826 Ave Fernandez Juncos
2ND Floor
San Juan, PR 00909-3004

Phone

(787) 726-8396

Fax

(787) 919-0640

NPI assigned

Jan 14, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregorio Antonio Cortes-Maisonet, M.D.NPI 1639151616

Title

President

Phone

(787) 726-8396

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregorio A. Cortes-Maisonet, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1639151616
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1053658732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13867",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009083867",
            "telephone_number": "787-726-8396",
            "fax_number": "787-919-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 AVE FERNANDEZ JUNCOS",
            "address_2": "2ND FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009093004",
            "telephone_number": "787-726-8396",
            "fax_number": "787-919-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SALUD MENTAL INTEGRADO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "CORTES-MAISONET",
        "authorized_official_first_name": "GREGORIO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-726-8396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.