Active NPI
Laura Ivette Salas-Gonzalez, MA
- School Psychologist
- Moca, PR
National Provider Identifier
1073829339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2503
- Practice address
- HC 2 Box 11851
Moca, PR 00676-8347 - Phone
- (787) 585-5521
- NPI assigned
- Aug 25, 2010
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2503 | PR | Primary |
Addresses
Primary practice location
HC 2 Box 11851
Moca, PR 00676-8347
Mailing address
HC 2 Box 11851
Moca, PR 00676-8347
Phone (787) 585-5521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2503 | PR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1073829339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 11851",
"city": "MOCA",
"state": "PR",
"postal_code": "006768347",
"telephone_number": "787-585-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 2 BOX 11851",
"city": "MOCA",
"state": "PR",
"postal_code": "006768347",
"telephone_number": "787-585-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS-GONZALEZ",
"first_name": "LAURA",
"middle_name": "IVETTE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "2503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.