GREISTAR MENTAL AND PHYSICAL HEALTH LLC (NPI# 1184168619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184168619 |
| Entity Type | Organization |
| Organization Name | GREISTAR MENTAL AND PHYSICAL HEALTH LLC |
| Practice Address |
75 Calle Luna Esquina Torres Ponce PR 00730 |
| Mailing Address |
Po Box 336223 Ponce PR 00733-6223 |
| Practice Telephone | 7878445364 |
| Mailing Telephone | 7878445364 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2017-05-08 |
| Authorized Official Name | DR. GRISELLE GARCIA HERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 7873745801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers | ||
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
75 CALLE LUNA ESQUINA TORRES |
| City | PONCE |
| State | PR |
| Zip Code | 00730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962733345 | Griselle Garcia Hernandez | Psychologist | 75 Calle Luna, Esquina Torres, Ponce, PR 00730 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305197 | Hector Ruben Vazquez-torres | General Practice | Valle Alto Calle Cordillera, 1146, Ponce, PR 00730 | 2020-10-27 |
| 1245837327 | Christopher Jose Gotay Serrano | Rehabilitation Counselor | Urb. Santa Teresita Calle Santa Suzana 3711, Ponce, PR 00730 | 2020-10-02 |
| 1194330225 | Lilia Marlene Quintero | General Practice | Urb. Santa Teresita #4994 Santa Paula, Ponce, PR 00730 | 2020-09-15 |
| 1508470691 | Precision Medicine Transport, Corp. | Non-emergency Medical Transport (VAN) | Glenview Gardens Florencia T28, Ponce, PR 00730 | 2020-09-04 |
| 1184241747 | Edgar Luis Rodriguez | Student in an Organized Health Care Education/Training Program | #44 Calle Reina Isabel, Ponce, PR 00730 | 2020-06-30 |
| 1598381501 | Yalisse Linette Rodriguez Torres | Family Medicine | Valle Alto 1794 Llanura, Ponce, PR 00730 | 2020-06-25 |
| 1043833718 | Farmacia Rivera | Pharmacy | Urb. Santa Teresita Calle Santa Genoveva #3251, Esquina Emilio Fagot, Ponce, PR 00730 | 2020-05-28 |
| 1710506464 | Francesca Emily Rios Miller | Pharmacist | Est. Del Golf Club 385, Calle Juan H. Cintron, Ponce, PR 00730 | 2020-04-13 |
| 1689200149 | Centro Ambulatorio De Cirugia Especializada | Clinic/Center | 1000 Av. Tito Castro, Ponce, PR 00730 | 2020-03-17 |
| 1124651773 | Giovanni Lugo | Student in an Organized Health Care Education/Training Program | Calle Reina Isabel #44, Ponce, PR 00730 | 2020-02-21 |
| Find all providers in zip 00730 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592011 | Luz Jeilin Morales Cruz | Psychologist | Urb Inductrial Reparada #291, Ponce, PR 00716 | 2020-06-11 |
| 1255967444 | Marilia Padua Quiles | Psychologist | 1805 Paseo La Colonia Ste 2, Urb. Constancia Codech Office Park, Ponce, PR 00717 | 2020-03-19 |
| 1235761206 | Gilmarie Berrios | Psychologist | Urb Casamia Calle Zorzal 5109, Ponce, PR 00728-3400 | 2020-02-07 |
| 1255988333 | Ana Gabriela Dieppa Lopez De Victoria | Psychologist | Haciendas Del Monte, 6016 Paseo Concordia, Ponce, PR 00780 | 2019-08-22 |
| 1699321968 | Preventive Care Services By Apex | Psychologist | 909 Ave Tito Castro Ste 105, Ponce, PR 00716-4720 | 2019-08-13 |
| 1295220556 | Wilson Eddie Torres Santos | Psychologist | Calle Comercio #96 Local #3, Ponce, PR 00730 | 2018-06-28 |
| 1275032666 | Janice Figueroa Rodriguez | Psychologist | 4327 Calle 58, 4ta Ext Jardines Del Caribe, Ponce, PR 00728 | 2018-02-12 |
| 1659870293 | Jennifer Mercado | Psychologist | 472 Ave Tito Castro Ste 100, Ponce, PR 00716-4702 | 2018-02-09 |
| 1689104325 | Angel Manuel Munoz Alicea | Psychologist | 4009 Calle Carlos Cartagena Suite B, Urb Perla Del Sur, Ponce, PR 00717 | 2017-06-15 |
| 1891229134 | Nivia Isabel Rodriguez Hernandez | Psychologist | 1805 Urb Constancia, Paseo La Colonia Ste. 2, Ponce, PR 00717-0000 | 2017-04-13 |
| Find all providers in PONCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.