Alianza Psicoterapeutica de Puerto Rico, PSC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

17603 Issued in PR

Legal business name

ALIANZA PSICOTERAPEUTICA DE PUERTO RICO, PSC

Practice address

400 Ave FD Roosevelt
Suite 508
San Juan, PR 00918-2103

Phone

(787) 764-3737

NPI assigned

Feb 12, 2012

Last updated

Feb 12, 2012By 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

Mario Roberto Gonzalez-Torres, M.D.NPI 1962650085

Title

President

Phone

(787) 294-5871

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Mario Roberto Gonzalez-Torres, M.D., DABPN

  • Child & Adolescent Psychiatry Physician
  • Dorado, PR
  • NPI 1962650085
  NPD (past) Authorized official

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

{
    "created_epoch": "1329004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329004800000",
    "number": "1467725150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363161",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363161",
            "telephone_number": "787-294-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "SUITE 508",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-764-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIANZA PSICOTERAPEUTICA DE PUERTO RICO, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-12",
        "last_updated": "2012-02-12",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-TORRES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-294-5871",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "17603",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PR",
            "license": "17603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangeline Algarin Rodriguez, AUD
• Alianza
• Alianza de Medicos del Sureste
• Alianza de Proveedores de Salud En El Hogar
• Alianza Medica del Caribe
• Edwin Andres Alicea Chirino
• Alfredo Jose Alicea Cruz, PHD
• Cristal M Alicea Malave, MD
• Sigfredo Antonio Alicea Valentin, PT
• Jessica Marie Alicea-Collazo, MLS(ASCP)

• Adolescent and Children Mental Health Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Adolescent and Children Mental Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2012; 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.