Active NPI
Gretza M. Pineiro, PSY. D.
- Clinical Psychologist
- Caguas, PR
National Provider Identifier
1629202098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2279
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2279 | PR | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Psicologico Ilo SE LLC | Clinical | Past | Accepting new patients |
| Centro Psicologico Ilo, Inc. | Clinical | Past | 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.
-
- Clinical Psychologist
- Canovanas, PR
- NPI 1427731538
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Caguas, PR
- NPI 1902239114
Clinical
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.