Psymed Clinic, PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PSYMED CLINIC, PSC

Practice address

4952 Calle Santa Paula
Urb Santa Teresita
Ponce, PR 00730

Phone

(939) 525-0525

NPI assigned

Jan 16, 2024

Last updated

Jan 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Francisco Rodriguez Barrera, MD

Title

Vice President

Phone

(939) 525-0525

Specialties & licenses 4

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nilsa Collazo, PHD

  • Clinical Psychologist
  • Castaner, PR
  • NPI 1851861066
  NPD (past)
• Isabel Cristina Rodriguez Barrera

  • Nutritionist
  • Santa Isabel, PR
  • NPI 1992412894
  NPD (past)
• Eugenia Rodriguez- Barrera, SLP

  • Speech-Language Pathologist
  • Ponce, PR
  • NPI 1427991280

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1376314567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4952 CALLE SANTA PAULA",
            "address_2": "URB SANTA TERESITA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "939-525-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4952 CALLE SANTA PAULA",
            "address_2": "URB SANTA TERESITA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "939-525-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYMED CLINIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ BARRERA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "939-525-0525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Puerto Rico Care Response Home Health Agency Corp.
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• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.