Provider Demographics
NPI:1619846128
Name:PSYCHIATRY PR LLC
Entity type:Organization
Organization Name:PSYCHIATRY PR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMIDEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-709-7454
Mailing Address - Street 1:PO BOX 9200
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988-9200
Mailing Address - Country:US
Mailing Address - Phone:787-709-7454
Mailing Address - Fax:
Practice Address - Street 1:CANOVANAS MALL
Practice Address - Street 2:CARR 185 KM 1 #14
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-382-7319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-03
Last Update Date:2025-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty