Active NPI
Mario Roberto Gonzalez-Torres, M.D., DABPN
- Child & Adolescent Psychiatry Physician
- Dorado, PR
National Provider Identifier
1962650085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 17603
- Practice address
- 332 Calle Mendez Vigo
# B
Dorado, PR 00646-4931 - Phone
- (787) 800-9959
- Fax
- (787) 773-1017
- NPI assigned
- Sep 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 17603 | PR | Primary |
Addresses
Primary practice location
332 Calle Mendez Vigo
# B
Dorado, PR 00646-4931
Mailing address
PO Box 363161
San Juan, PR 00936-3161
Phone (787) 415-7115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120521000189 | PR | Practitioner - Psychiatry | 4284897778 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University Central del Caribe Escuela de Medicina, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
68 Calle Santa Cruz
Suite 605
Bayamon, PR 00961-7034
Phone (787) 796-0420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17603 | PR | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alianza Psicoterapeutica de Puerto Rico, PSC | Past | Accepting new patients | |
| GT Psychiatry LLC | Child & Adolescent Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adolescent and Children Mental Health Clinic/Center
- San Juan, PR
- NPI 1467725150
-
- Child & Adolescent Psychiatry Physician
- San Juan, PR
- NPI 1629436472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1962650085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 363161",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009363161",
"telephone_number": "787-415-7115",
"fax_number": "787-773-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 CALLE MENDEZ VIGO",
"address_2": "# B",
"city": "DORADO",
"state": "PR",
"postal_code": "006464931",
"telephone_number": "787-800-9959",
"fax_number": "787-773-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-TORRES",
"first_name": "MARIO",
"middle_name": "ROBERTO",
"name_prefix": "Dr.",
"credential": "M.D., DABPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PR",
"license": "17603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.