Organization
MEDICAL PSYCHIATRIC GROUP,CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE OMAR GONZALEZ M.D. (PSYCHIATRIY-DIRECTOR)
(787) 768-0390
Entity
Organization
Contact information
Practice address
MEDICAL PSYCHIATRIC CENTER, MOLUCAS ST. 818 COUNTRY CLUB, RIO PIEDRAS, PR 00924
(787) 768-0390
(787) 768-1775
Mailing address
ER139 PLAZA SERENA, TRUJILLO ALTO, PR 00976-6171
(787) 276-2570
(787) 768-1775
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
10762
PR
Other
Enumeration date
01/19/2006
Last updated
09/06/2023
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