# MEDICAL PSYCHIATRIC GROUP,CSP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1447230040
- **Authorized official:** DR. JOSE OMAR GONZALEZ M.D. (PSYCHIATRIY-DIRECTOR)
- **Authorized official phone:** (787) 768-0390

## Contact information

- **Practice address:** MEDICAL PSYCHIATRIC CENTER, MOLUCAS ST. 818 COUNTRY CLUB, RIO PIEDRAS, PR 00924
- **Practice address phone:** (787) 768-0390
- **Practice address fax:** (787) 768-1775
- **Mailing address:** ER139 PLAZA SERENA, TRUJILLO ALTO, PR 00976-6171
- **Mailing address phone:** (787) 276-2570
- **Mailing address fax:** (787) 768-1775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 10762 | PR | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 09/06/2023