| Mindbloom Psychological Center, Llc. | |
|
305 Quadrangel Medical Building Ave Luis Munoz Marin Caguas PR 00725 | |
| (787) 595-6085 | |
| Not Available |
| Full Name | Mindbloom Psychological Center, Llc. |
|---|---|
| Speciality | Psychologist |
| Location | 305 Quadrangel Medical Building, Caguas, Puerto Rico |
| Authorized Official Name and Position | Gabriela Maria Gutierrez (PRESIDENT) |
| Authorized Official Contact | 7875956085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindbloom Psychological Center, Llc. 2t-50 Calle 30 Mirador De Bairoa Caguas PR 00727-1002 Ph: (787) 595-6085 | Mindbloom Psychological Center, Llc. 305 Quadrangel Medical Building Ave Luis Munoz Marin Caguas PR 00725 Ph: (787) 595-6085 |
| NPI Number | 1861203382 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Medicare PECOS PAC ID | 1254853724 |
|---|---|
| Medicare Enrollment ID | O20250313004055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861203382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Gabriela Maria Gutierrez |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1114588985 PECOS PAC ID: 2163944638 Enrollment ID: I20250313004067 |
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