Gretchen M Texidor Reyes

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15144 Issued in PR

Practice address

Galeria Profesional
8118 Calle Concordia Suite 102
Ponce, PR 00717-1589

Phone

(939) 835-7257

NPI assigned

Aug 16, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindset Psychological & Consultant Group LLC

  • Clinical Psychologist
  • Ponce, PR
  • NPI 1326841651
  NPD

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1841716396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007954554",
            "telephone_number": "787-367-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GALERIA PROFESIONAL",
            "address_2": "8118 CALLE CONCORDIA SUITE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171589",
            "telephone_number": "939-835-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEXIDOR REYES",
        "first_name": "GRETCHEN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "23309",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Teresa Tavarez, MD
• Miguel Alejandro Tejeda-Puig, M.D.
• Gregorio Enrique Terc, MD
• Candimarie Texeira, PSYC
• Roberto A Texeira
• Thalia Vega MD LLC
• The Home Care Shop, Inc
• Max Damian Thein
• Think Vascular LLC
• Janissa Thomas

• Clinical Social Worker in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.