MEDICARE: CLINICA PSIQUIATRICA DE INTEGRACION BIOPSICOSOCIAL

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	14464	PR
2	1041C0700X	Clinical Social Worker	7996	PR

General Provider Information

NPI Number	:	1831273838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICA PSIQUIATRICA DE INTEGRACION BIOPSICOSOCIAL

Provider Business Mailing Address
First Line	:	CALLE MEXICO #385
Second Line	:	ROLLING HILLS
City	:	CAROLINA
State	:	PR
Zip	:	00987
Country	:	US
Telephone Number	:	787-466-8754
Fax Number	:

Provider Business Practice Location Address
First Line	:	312 AVE DE DIEGO
Second Line	:	TORRE MUSEO SUITE 301
City	:	SANTURCE
State	:	PR
Zip	:	00909-1756
Country	:	US
Telephone Number	:	787-217-1337
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRY
Name	:	DR. REYNALDO J. PEREZ ALVARADO
Credential	:	M.D.
Telephone Number	:	787-466-8754

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	09/11/2025

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