Provider Demographics
NPI:1306494091
Name:SERVICIOS PSIQUIATRICOS GALATEO LLC
Entity type:Organization
Organization Name:SERVICIOS PSIQUIATRICOS GALATEO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:L
Authorized Official - Last Name:VELEZ GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-830-8866
Mailing Address - Street 1:SERVICIOS PSIQUIATRICOS GALATEO LLC
Mailing Address - Street 2:URB MANSIONES 3073 CALLE MONACO C42
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-8972
Mailing Address - Country:US
Mailing Address - Phone:787-830-8866
Mailing Address - Fax:787-830-8866
Practice Address - Street 1:CLINICA MEDICINA PRIMARIA
Practice Address - Street 2:CARR #2 KM 112.2 BO MORA
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:787-830-8866
Practice Address - Fax:787-830-8866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate HealthGroup - Single Specialty