Provider Demographics
NPI:1851748917
Name:ATENAS PSYCHIATRY GROUP PSC
Entity Type:Organization
Organization Name:ATENAS PSYCHIATRY GROUP PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRIANA
Authorized Official - Middle Name:DEL CARMEN
Authorized Official - Last Name:DIEZ GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-854-7363
Mailing Address - Street 1:93 PASEO ATENAS
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-5368
Mailing Address - Country:US
Mailing Address - Phone:787-854-7363
Mailing Address - Fax:
Practice Address - Street 1:93 PASEO ATENAS
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5368
Practice Address - Country:US
Practice Address - Phone:787-854-7363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR187812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty