Medical Psychiatric Center,Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

10762 Issued in PR

Legal business name

MEDICAL PSYCHIATRIC CENTER,INC.

Practice address

818 Calle Molucas
Rio Piedras, PR 00924-1723

Phone

(787) 276-2570

Fax

(787) 768-1775

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jose Omar Gonzalez, MD

Title

President

Phone

(787) 768-0390

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nilda Violeta Caraballo, PSY.D.

  • Psychologist
  • San Juan, PR
  • NPI 1780980706
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194875187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 CALLE MOLUCAS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009241723",
            "telephone_number": "787-276-2570",
            "fax_number": "787-768-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 CALLE MOLUCAS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009241723",
            "telephone_number": "787-276-2570",
            "fax_number": "787-768-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PSYCHIATRIC CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-768-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "10762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Martinez, R.N.
• Taina L. Matos Suarez, MSW
• Jose Raimundo Matos, D.M.D.
• Medic Home Infusions
• Medical Office of Dr Jorge Crespo Carrillo PSC
• Medical Psychiatric Group,CSP
• Mediccar
• Medico Uno Corp
• Lourdes M Medina Fiol, M.D.
• Juan R Medina Morell

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.