GT Psychiatry LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

17603 Issued in PR

Legal business name

GT PSYCHIATRY LLC

Practice address

U3-4 Carr 21
San Juan, PR 00921-3313

Phone

(787) 800-9959

NPI assigned

Feb 8, 2016

Last updated

Feb 8, 2016By 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

Dr. Mario Roberto Gonzalez, M.D.

Title

President

Phone

(787) 800-9959

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario Roberto Gonzalez-Torres, M.D., DABPN

  • Child & Adolescent Psychiatry Physician
  • Dorado, PR
  • NPI 1962650085
  NPD (past)

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1629436472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363161",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363161",
            "telephone_number": "787-800-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U3-4 CARR 21",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213313",
            "telephone_number": "787-800-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GT PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-800-9959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "17603",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "17603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR LICENCE",
            "identifier": "17603",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grupo Reumatologia Hospital Municipal SJ
• Grupo San Mateo, LLC
• Grupomedico de Sala de Emergencia Dr.Quevedo Baez
• GS Technical Group Inc
• GSM-Salud Primaria, LLC (GSM-Salud Primaria)
• Kimberly M Guadalupe-Andersen, CRNA
• Alexander Guadalupe
• Sergio Guadalupe
• Angel Daniel Guante
• Carolyn Guardado, RN

• Child & Adolescent Psychiatry Physician in San Juan, PR
• Providers in San Juan, 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 Feb 8, 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.