# MCG THERAPY GROUP, LLC

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

## Provider details

- **NPI number:** 1881321511
- **Authorized official:** GRETCHEN GOTAY CORDERA (PRESIDENT)
- **Authorized official phone:** (787) 397-5712

## Contact information

- **Practice address:** 200 CALLE CUPEY GDNS, SAN JUAN, PR 00926-7341
- **Practice address phone:** (787) 397-5712
- **Mailing address:** 200 CALLE CUPEY GDNS STE 6W, SAN JUAN, PR 00926-7373
- **Mailing address phone:** (787) 397-5712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207ZC0006X | Clinical Pathology Physician | — | NULL | Yes |
| 207ZC0006X | Clinical Pathology Physician | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/03/2022
- **Last updated:** 08/03/2022