The Behavioral Group, PSC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

13958 Issued in PR

Legal business name

THE BEHAVIORAL GROUP, PSC

Practice address

Cond Maga
Bo Monacillos Centro Medico
San Juan, PR 00907-1966

Phone

(787) 545-2718

Fax

(787) 545-2794

NPI assigned

Jun 21, 2016

Last updated

Jun 21, 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. Jorge Mejia Valle, M.D.

Title

President

Phone

(787) 545-2718

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1730539644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AVE WINSTON CHURCHILL",
            "address_2": "PMB 359 SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266065",
            "telephone_number": "787-545-2718",
            "fax_number": "787-545-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND MAGA",
            "address_2": "BO MONACILLOS CENTRO MEDICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071966",
            "telephone_number": "787-545-2718",
            "fax_number": "787-545-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEHAVIORAL GROUP, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "MEJIA VALLE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-545-2718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PR",
            "license": "13958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "13958",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medical Services (Emergency Medicine) Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.