Liyalina Cordero Gonzalez

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5915 Issued in PR

Practice address

Carretera 111, KM. 2.4
Aguadilla, PR 00603

Phone

(787) 466-8567

NPI assigned

May 17, 2023

Last updated

May 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1003507427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 22415",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039629",
            "telephone_number": "787-466-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 111, KM. 2.4",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-466-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO GONZALEZ",
        "first_name": "LIYALINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consultorio Medico Dr. Jose a. Acevedo PSC
• Rita Conti
• Liza Marie Conty, PH.D.; M.ED.; B.A.
• Cooperativa de Servicios Medicos de Puerto Rico
• Cordero & Sepulveda Inc
• Mayra Ivette Cordero Gonzalez, SOCIAL WORKER
• Grisselle Cordero Mendez, PH.D.
• Julio Cesar Cordero
• Oscar Francisco Cordero, D.D.S.
• Drury Corley, PA-C

• Clinical Psychologist in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.