| Gt Psychiatry Llc | |
|
U3-4 Carr 21 San Juan PR 00921-3313 | |
| (787) 800-9959 | |
| Not Available |
| Full Name | Gt Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | U3-4 Carr 21, San Juan, Puerto Rico |
| Authorized Official Name and Position | Mario Roberto Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7878009959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gt Psychiatry Llc Po Box 363161 San Juan PR 00936-3161 Ph: (787) 800-9959 | Gt Psychiatry Llc U3-4 Carr 21 San Juan PR 00921-3313 Ph: (787) 800-9959 |
| NPI Number | 1629436472 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629436472 | NPI | - | NPPES |
| 17603 | Other | PR | PR LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 17603 (Puerto Rico) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 17603 (Puerto Rico) | Primary |
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