Provider Demographics
NPI:1871213074
Name:WEST PSYCHIATRY LLC
Entity type:Organization
Organization Name:WEST PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:TIRADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-504-2599
Mailing Address - Street 1:CENTRO PLAZA OFIC 3B
Mailing Address - Street 2:63 CALLE MENDEZ VIGO ESTE
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-504-2599
Mailing Address - Fax:
Practice Address - Street 1:CENTRO PLAZA OFIC 3B
Practice Address - Street 2:63 CALLE MENDEZ VIGO ESTE
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-504-2599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty