Active NPI
Gabriela M Gutierrez, PSYD
- Counseling Psychologist
- Caguas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6367
- Practice address
- 305 Ave. Luis Munoz Marin Quadrangle Medical Building
Caguas, PR 00725 - Phone
- (787) 595-6085
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6367 | PR | Primary |
Addresses
Primary practice location
305 Ave. Luis Munoz Marin Quadrangle Medical Building
Caguas, PR 00725
Mailing address
2T50 C 30 Mirador de Bairoa
Caguas, PR 00727-1002
Phone (787) 595-6085
Other practice location 1
D12 Calle Mis Amores
San Alfonso
Caguas, PR 00725-5821
Phone (787) 930-3144
Other practice location 2
309 Professional Center Building
3 Calle Munoz Rivera
Caguas, PR 00725
Phone (787) 612-7997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250313004067 | PR | Practitioner - Psychologist Billing Independently | 2163944638 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6367 | PR | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindbloom Psychological Center, LLC. | Counseling | Current | Accepting new patients |
| Centro Psicologico Ilo, Inc. | Clinical | Past | Accepting new patients |
| Centro Psicologico Ilo SE LLC | Clinical | Past | Accepting new patients |
Locations
305 Ave Luis Munoz Marin
Quadrangle Medical BLDG
PR 00725
305 Ave Luis Munoz Marin
Quadrangle Medical B
Caguas, PR 00725
Phone (787) 595-6085
305 Ave Luis Munoz Marin
Quadrangle Medical BLDG
Caguas, PR 00725
305 Ave Luis Munoz Marin Quadrangle Medical BLDG
Quadrangle Medical BLDG
Caguas, PR 00725
Phone (787) 595-6085
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- Caguas, PR
- NPI 1861203382
Counseling, PR
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Caguas, PR
- NPI 1902239114
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1114588985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2T50 C 30 MIRADOR DE BAIROA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007271002",
"telephone_number": "787-595-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 AVE. LUIS MUNOZ MARIN QUADRANGLE MEDICAL BUILDING",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-595-6085"
}
],
"practiceLocations": [
{
"address_1": "D12 CALLE MIS AMORES",
"address_2": "SAN ALFONSO",
"address_purpose": "LOCATION",
"city": "Caguas",
"state": "PR",
"postal_code": "007255821",
"country_code": "US",
"telephone_number": "787-930-3144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 PROFESSIONAL CENTER BUILDING",
"address_2": "3 CALLE MUNOZ RIVERA",
"address_purpose": "LOCATION",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"country_code": "US",
"telephone_number": "787-612-7997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "GABRIELA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2025-01-16",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "6367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.