# MEDICAL PSYCHIATRIC SERVICES PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164816583
- **Authorized official:** DR. JUAN JOSE RODRIGUEZ VELEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 562-5414

## Contact information

- **Practice address:** 1396 CALLE SAN RAFAEL, MEDICAL PAVILLION SUITE 4, SAN JAUN, PR 00909
- **Practice address phone:** (787) 725-2910
- **Mailing address:** 1396 CALLE SAN RAFAEL, MEDICAL PAVILLION SUITE 4, SAN JAUN, PR 00909
- **Mailing address phone:** (787) 725-2910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 08550 | PR | Yes |

## Other

- **Enumeration date:** 03/24/2015
- **Last updated:** 03/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08550 | DR. JUAN J RODRIGUEZ VELEZ STATE LICENCES | PR |
| 01 | — | 1285605980 | DR. JUAN J RODRIGUEZ VELEZ NPI | — |