Grupo Salud Mental del Sur, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GRUPO SALUD MENTAL DEL SUR, INC.

Practice address

609 Ave Tito Castro Suites 102
PMB 229
Ponce, PR 00716-1692

Phone

(787) 638-3090

Fax

(787) 259-3331

NPI assigned

Apr 1, 2014

Last updated

Apr 1, 2014By 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

Mr. Jose X. Vazquez Sr.

Title

Director

Phone

(787) 638-3090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1528486164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 CALLE SALUD",
            "address_2": "ESQ CAMPECHE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171692",
            "telephone_number": "787-638-3090",
            "fax_number": "787-259-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO SUITES 102",
            "address_2": "PMB 229",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161692",
            "telephone_number": "787-638-3090",
            "fax_number": "787-259-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO SALUD MENTAL DEL SUR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "X.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-638-3090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Grupo Primario Torres-Rodriguez C.S.P.
• Glorimar Guadalupe Rivera
• Waleska Ivonne Guadalupe, MSW
• Osvaldo Andres Guemarez Soto
• Katherine Pauli Guerra Torres
• Gabriela Raquel Guerra Velazquez

• Adult Mental Health Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• Adult Mental Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.