Medical Psychiatric Group,CSP

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

10762 Issued in PR

Legal business name

MEDICAL PSYCHIATRIC GROUP,CSP

Practice address

Medical Psychiatric Center
Molucas St. 818 Country Club
Rio Piedras, PR 00924

Phone

(787) 768-0390

Fax

(787) 768-1775

NPI assigned

Jan 19, 2006

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, M.D.

Title

Psychiatriy-Director

Phone

(787) 768-0390

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1447230040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ER139 PLAZA SERENA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766171",
            "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": "MEDICAL PSYCHIATRIC CENTER",
            "address_2": "MOLUCAS ST. 818 COUNTRY CLUB",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-768-0390",
            "fax_number": "787-768-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PSYCHIATRIC GROUP,CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "PSYCHIATRIY-DIRECTOR",
        "authorized_official_telephone_number": "787-768-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "10762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taina L. Matos Suarez, MSW
• Jose Raimundo Matos, D.M.D.
• Medic Home Infusions
• Medical Office of Dr Jorge Crespo Carrillo PSC
• Medical Psychiatric Center,Inc.
• Mediccar
• Medico Uno Corp
• Lourdes M Medina Fiol, M.D.
• Juan R Medina Morell
• Thalia Medina Rodriguez

• Medical Specialty Clinic/Center in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.