Active NPI
Marilis Enid Gonzalez, PSYD
- Clinical Psychologist
- Caguas, PR
National Provider Identifier
1013460534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5676
- Practice address
- Villa del Rey 1 Carr. #1 C8
Caguas, PR 00725 - Phone
- (787) 943-6980
- NPI assigned
- Aug 2, 2016
- Last updated
- Jul 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5676 | PR | Primary |
Addresses
Primary practice location
Villa del Rey 1 Carr. #1 C8
Caguas, PR 00725
Mailing address
Colinas de Guaynabo Calle Yagrumo 13D
Guaynabo, PR 00969
Phone (787) 943-6980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180312000112 | PR | Practitioner - Psychologist Billing Independently | 0143581009 | Practice locations: Guayama, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5676 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1013460534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COLINAS DE GUAYNABO CALLE YAGRUMO 13D",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-943-6980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VILLA DEL REY 1 CARR. #1 C8",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-943-6980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARILIS",
"middle_name": "ENID",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.