MEDICARE: MEDICAL PSYCHIATRIC GROUP,CSP

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	261QM2500X	Medical Specialty Clinic/Center	10762	PR

General Provider Information

NPI Number	:	1447230040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL PSYCHIATRIC GROUP,CSP

Provider Business Mailing Address
First Line	:	ER139 PLAZA SERENA
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-6171
Country	:	US
Telephone Number	:	787-276-2570
Fax Number	:	787-768-1775

Provider Business Practice Location Address
First Line	:	MEDICAL PSYCHIATRIC CENTER
Second Line	:	MOLUCAS ST. 818 COUNTRY CLUB
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00924
Country	:	US
Telephone Number	:	787-768-0390
Fax Number	:	787-768-1775

Authorized Official
Title or Position	:	PSYCHIATRIY-DIRECTOR
Name	:	DR. JOSE OMAR GONZALEZ
Credential	:	M.D.
Telephone Number	:	787-768-0390

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	09/06/2023

Similar Medicare Providers

1093796831 — MS. MARITZA VEGA RN
Practice Location Address:

AVENUE 65 INFANTERIA KM 3.4 , BO. SABANA LLANA
RIO PIEDRAS, PR
00924

Practice Phone: 787-767-7676
Practice Fax: 787-764-9124

1154304178 — ANA L MEDINA MD
Practice Location Address:

572 DE DIEGO , ESQUINA MILAN
RIO PIEDRAS, PR
00924

Practice Phone: 787-754-9586
Practice Fax:

1205806684 — DR. JOSE A. MORALES-MORALES DMD
Practice Location Address:

65 INFANTERIA AVE. CONCORDIA SHOPPING CTR. , 570 CALLE NAPOLES SUITE 208
RIO PIEDRAS, PR
00924-4605

Practice Phone: 787-755-4347
Practice Fax: 787-283-7440

1265408769 — MANUEL ARTURO GARCIA VERGNE MD
Practice Location Address:

AVE. GENERAL DEL VALLE #1017 , URB. DELICIA
RIO PIEDRAS, PR
00924

Practice Phone: 787-268-8129
Practice Fax: 787-268-7790

1710947510 — DR. LUIS DAVID MUNIZ MD
Practice Location Address:

#66 CALLE GEORGETTI
RIO PIEDRAS, PR
00924

Practice Phone: 787-773-5436
Practice Fax:

1891718482 — MARIETTA LOUBRIEL JIMENEZ MD
Practice Location Address:

721 CALLE ANON , HIGHLAND PARK
RIO PIEDRAS, PR
00924-5141

Practice Phone: 787-751-7703
Practice Fax:

Directions to “MEDICAL PSYCHIATRIC GROUP,CSP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.