MEDICARE: GB PSYCHIATRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1962367847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GB PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	35 JUAN C. BORBON
Second Line	:	SUITE 67 PMB 274
City	:	GUAYNABO
State	:	PR
Zip	:	00969
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 CALLE PADIAL STE 120
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-3842
Country	:	US
Telephone Number	:	787-478-6319
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GERALDINE BATISTA IRIZARRY
Credential	:	MD
Telephone Number	:	787-594-4719

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	12/22/2025

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