Individual provider Active NPI

Gabriela M Gutierrez, PSYD

  • Counseling Psychologist
  • Caguas, PR
National Provider Identifier
1114588985
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6367 Issued in PR
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

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20250313004067 PR Practitioner - Psychologist Billing Independently 2163944638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6367PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindbloom Psychological Center, LLC. Counseling CurrentSince Feb 1, 2025 Accepting new patients
Centro Psicologico Ilo, Inc. Clinical PastSince Feb 4, 2015 Accepting new patients
Centro Psicologico Ilo SE LLC Clinical PastSince Aug 13, 2023 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.

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.

Verify at the official NPI Registry.