Individual provider Active NPI

Gretza M. Pineiro, PSY. D.

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1629202098
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2279 Issued in PR
Practice address
D12 Calle Mis Amores
Urb. San Alfonso
Caguas, PR 00725-5821
Phone
(787) 930-3144
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2279 PR Primary

Addresses

Primary practice location

D12 Calle Mis Amores
Urb. San Alfonso
Caguas, PR 00725-5821

Mailing address

PO Box 199
Juncos, PR 00777-0199
Phone (787) 415-6249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2279PRMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Psicologico Ilo SE LLC Clinical PastSince Aug 13, 2023 Accepting new patients
Centro Psicologico Ilo, Inc. Clinical PastSince Feb 4, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1629202098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 199",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007770199",
            "telephone_number": "787-415-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D12 CALLE MIS AMORES",
            "address_2": "URB. SAN ALFONSO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255821",
            "telephone_number": "787-930-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEIRO",
        "first_name": "GRETZA",
        "middle_name": "M.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.