Active NPI
Millianetsie Nieves Gonzalez, PH.D.
- Clinical Psychologist
- Moca, PR
National Provider Identifier
1104381946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6246
- Practice address
- 140 Calle Monsenor Jose Torres
Moca, PR 00676-5210 - Phone
- (787) 877-4213
- NPI assigned
- Feb 6, 2019
- 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 | 6246 | PR | Primary |
Addresses
Primary practice location
140 Calle Monsenor Jose Torres
Moca, PR 00676-5210
Mailing address
HC 4 Box 42078
Aguadilla, PR 00603-9747
Phone (787) 819-8009
Other practice location 1
Carr 2 Km 124.7
Bo. Caimital Alto
Aguadilla, PR 00603
Phone (787) 819-8009
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6246 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1104381946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 4 BOX 42078",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006039747",
"telephone_number": "787-819-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 CALLE MONSENOR JOSE TORRES",
"city": "MOCA",
"state": "PR",
"postal_code": "006765210",
"telephone_number": "787-877-4213"
}
],
"practiceLocations": [
{
"address_1": "Carr 2 Km 124.7",
"address_2": "Bo. Caimital Alto",
"address_purpose": "LOCATION",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"country_code": "US",
"telephone_number": "787-819-8009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEVES GONZALEZ",
"first_name": "MILLIANETSIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6246",
"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 Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.