Centro Psicoterapeutico Garcia -Mayor LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CENTRO PSICOTERAPEUTICO GARCIA -MAYOR LLC

Practice address

22310 Woodmen Hall Dr
Land O Lakes, FL 34637-3386

Phone

(239) 888-1218

Fax

(239) 203-2226

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Jose Gracia Mayor

Title

Owner

Phone

(239) 888-1218

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jose Garcia-Mayor

  • Clinical Social Worker
  • San Juan, PR
  • NPI 1104296425
  NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1679207930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 CALLE CANADA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203854",
            "telephone_number": "239-888-1218",
            "fax_number": "239-203-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22310 WOODMEN HALL DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346373386",
            "telephone_number": "239-888-1218",
            "fax_number": "239-203-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "calle canada 1215",
            "address_2": "Puerto nuevo",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "Puerto rico",
            "postal_code": "00920",
            "country_code": "UM",
            "telephone_number": "239-888-1218",
            "fax_number": "239-203-2226",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "organization_name": "CENTRO PSICOTERAPEUTICO GARCIA -MAYOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "GRACIA MAYOR",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-888-1218"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.