Gelycan Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GELYCAN CORP

Practice address

Carr 186 KM95
Cubuy
Canovanas, PR 00729

Phone

(939) 289-9088

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Candido Luis Gonzalez

Title

President

Phone

(939) 289-9088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1245843317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 186 KM95",
            "address_2": "CUBUY",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "939-289-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 186 KM95",
            "address_2": "CUBUY",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "939-289-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GELYCAN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CANDIDO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-289-9088"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscila Garcia Marrero, MS, SLP
• Oscar Garcia Roman, MD
• Melanie Garcia-del Valle, MSW
• Jennifer M Garcia, PSYD
• Jose A. Gaudier Diaz, M.D.
• Aleisa Gines, OTL
• Glorimar Santos Llanos PSC
• Wilfred Gomez Saldana, MD
• Mairalisa Gomez-Fortuna, M.D.
• Juan Gonzalez Diaz, MD

• Community/Behavioral Health Agency in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Community/Behavioral Health Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.