Organization Active NPI

Servicios Psiquiatricos Galateo LLC

  • Psychiatry Physician
  • Isabela, PR
National Provider Identifier
1306494091
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SERVICIOS PSIQUIATRICOS GALATEO LLC
Practice address
Clinica Medicina Primaria
Carr #2 KM 112.2 Bo Mora
Isabela, PR 00662
Phone
(787) 830-8866
Fax
(787) 830-8866
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Dr. Pedro L Velez Gonzalez, MDNPI 1124277314
Title
President
Phone
(787) 830-8866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary
Corporate Health Clinic/Center 261QC1800X

Addresses

Primary practice location

Clinica Medicina Primaria
Carr #2 KM 112.2 Bo Mora
Isabela, PR 00662

Mailing address

Servicios Psiquiatricos Galateo LLC
Urb Mansiones 3073 Calle Monaco C42
Cabo Rojo, PR 00623-8972
Phone (787) 830-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201215001799 PR Part B Supplier - Clinic/Group Practice 2961814009 Receives reassigned benefits from 1 practitioner
Practice locations: Isabela, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1306494091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SERVICIOS PSIQUIATRICOS GALATEO LLC",
            "address_2": "URB MANSIONES 3073 CALLE MONACO C42",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006238972",
            "telephone_number": "787-830-8866",
            "fax_number": "787-830-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA MEDICINA PRIMARIA",
            "address_2": "CARR #2 KM 112.2 BO MORA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-8866",
            "fax_number": "787-830-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS PSIQUIATRICOS GALATEO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "VELEZ GONZALEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-830-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.