Mindbloom Psychological Center, LLC.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

MINDBLOOM PSYCHOLOGICAL CENTER, LLC.

Practice address

305 Quadrangel Medical Building
Ave Luis Munoz Marin
Caguas, PR 00725

Phone

(787) 595-6085

NPI assigned

Jan 15, 2025

Last updated

Jan 15, 2025By 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

Ms. Gabriela Maria Gutierrez, PSYDNPI 1114588985

Title

President

Phone

(787) 595-6085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

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.

• Gabriela M Gutierrez, PSYD

  • Counseling Psychologist
  • Caguas, PR
  • NPI 1114588985
  Medicare reassignment NPD Authorized official
• Maylin D Goytia, PSYD

  • Counseling Psychologist
  • Caguas, PR
  • NPI 1871333898
  Medicare reassignment NPD
• Jeamy Liz Santos, MSW

  • Clinical Social Worker
  • Caguas, PR
  • NPI 1720760093
  Medicare reassignment NPD

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1861203382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2T-50 CALLE 30",
            "address_2": "MIRADOR DE BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271002",
            "telephone_number": "787-595-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 QUADRANGEL MEDICAL BUILDING",
            "address_2": "AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-595-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDBLOOM PSYCHOLOGICAL CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-595-6085",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred S Estrella (Laboratorio Clinico Estrella)
• Nelba Millan
• Antonio A Milland Torres, MD
• Millenium Medical Emergency Group
• Mind Bridge Clinical Services
• Minds Prime Inc.
• Mindspace Psychological Center LLC
• German Omar Mirabal, D.M.D.
• Miracle of Hope
• Lymarie Miranda Algarin

• Counseling Psychologist in Caguas, PR
• Providers in Caguas, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.