Clinica Gratitud LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CLINICA GRATITUD LLC

Practice address

Bo Camaseyes Word F112 Calle B 4
Aguadilla, PR 00603

Phone

(939) 224-6074

NPI assigned

Jul 2, 2024

Organization subpart

No

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

Authorized official

Name

Jackeline Marcial Rios, DRNPI 1932608312

Title

President

Phone

(787) 560-1254

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jackeline Marcial Rios, PSY. D

  • Clinical Psychologist
  • Aguada, PR
  • NPI 1932608312
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1578309332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PARC ESPINAL",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023165",
            "telephone_number": "939-224-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO CAMASEYES WORD F112 CALLE B 4",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "939-224-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA GRATITUD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MARCIAL RIOS",
        "authorized_official_first_name": "JACKELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-560-1254",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.