NPIMap

Organization Active NPI

Grupo Psiquiatrico, CSP

  • Adult Mental Health Clinic/Center
  • San Juan, PR
National Provider Identifier
1437266160
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GRUPO PSIQUIATRICO, CSP
Practice address
29 Calle Washington
Suite 310
San Juan, PR 00907-1510
Phone
(787) 722-5006
Fax
(787) 725-7490
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Margarita Fumero
Title
Administrator
Phone
(787) 722-5006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PR Primary

Addresses

Primary practice location

29 Calle Washington
Suite 310
San Juan, PR 00907-1510

Mailing address

PO Box 19234
Fernandez Juncos Station
San Juan, PR 00910-1234
Phone (787) 722-5006

Other identifiers 2

IdentifierTypeStateIssuer
65810OtherPRCRUZ AZUL DE PR
26148OtherPRTRIPLE S, INC

Other names 1

  • Grupo Psiquiatrico Other name

National Provider Directory

National Provider Directory

Locations

29 Calle Washington
Ste 310
San Juan, PR 00907
Phone (787) 722-5006

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437266160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19234",
            "address_2": "FERNANDEZ JUNCOS STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101234",
            "telephone_number": "787-722-5006",
            "fax_number": "787-725-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON",
            "address_2": "SUITE 310",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-722-5006",
            "fax_number": "787-725-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO PSIQUIATRICO, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUMERO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-722-5006"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PR",
            "identifier": "65810",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S, INC",
            "identifier": "26148",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grupo Psiquiatrico",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • 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.