Katia Angelica Liberatore Gallardo, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

17311 Issued in PR

Practice address

Sargento Gerardo Santiago Street #15
Aibonito, PR 00705

Phone

(787) 714-2462

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inspira Behavioral Care CorpGroup PAC ID 5294863262, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Cidra, PR
  • NPI 1063928596
  Medicare reassignment Care Compare group NPD
• Inspira Behavioral Care Corp

  • Clinic/Center
  • Ponce, PR
  • NPI 1548084635
  NPD
• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Carolina, PR
  • NPI 1760983399
  NPD
• Aps Clinics of Puerto Rico, Inc.

  • Adult Mental Health Clinic/Center
  • San Juan, PR
  • NPI 1336194448

  Psychiatry

  NPD (past)
• Inspira Behavioral Care Corp.

  • Psychiatric Hospital
  • Bayamon, PR
  • NPI 1609381524
  NPD (past)
• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Coamo, PR
  • NPI 1679075212
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1508077900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURCHILL",
            "address_2": "PMB 512",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-604-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SARGENTO GERARDO SANTIAGO STREET #15",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-714-2462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Pappas St",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780411701",
            "country_code": "US",
            "telephone_number": "956-794-3045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBERATORE GALLARDO",
        "first_name": "KATIA",
        "middle_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "R9641",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "17311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Feram Inc
• Vicente Laboy Ramos, M.D.
• Manuel Laboy
• Ilianys Lasanta Ortiz
• LHM, C.S.P.
• Like Family Inc
• Genesis Lopez Feliciano
• Lilliam Lopez Feliciano
• Rodney Lopez Lopez, MD
• Liz Angelica Lopez Saez

• Child & Adolescent Psychiatry Physician in Aibonito, PR
• Providers in Aibonito, PR by specialty
• Child & Adolescent Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.