Organization Active NPI

Centro Psiquiatrico Glomarish

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Humacao, PR
National Provider Identifier
1861538910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6613 Issued in PR
Legal business name
CENTRO PSIQUIATRICO GLOMARISH
Practice address
Calle Font Martelo 128
Clinica del Este
Humacao, PR 00791
Phone
(787) 850-4515
Fax
(787) 850-4515
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jose Lopez Marquez, M.D.
Title
Psychiatrist
Phone
(787) 850-4515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6613 PR Primary

Addresses

Primary practice location

Calle Font Martelo 128
Clinica del Este
Humacao, PR 00791

Mailing address

C/ Font Martelo #128 Este
Clinica del Este
Humacao, PR 00791
Phone (787) 850-4515

National Provider Directory

National Provider Directory

Locations

128 Calle Font Martelo E
Humacao, PR 00791
Phone (787) 285-0550

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861538910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/ FONT MARTELO #128 ESTE",
            "address_2": "CLINICA DEL ESTE",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-850-4515",
            "fax_number": "787-850-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE FONT MARTELO 128",
            "address_2": "CLINICA DEL ESTE",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-850-4515",
            "fax_number": "787-850-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PSIQUIATRICO GLOMARISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LOPEZ",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "787-850-4515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.