Individual provider Active NPI

Doris Gonzalez-Ortiz, PH.D.

  • Specialist
  • Rio Piedras, PR
National Provider Identifier
1114998929
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
Ave. Lomas Verdes #1733
Rio Piedras Heights
Rio Piedras, PR 00926
Phone
(787) 622-4433
Fax
(787) 622-4432
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

Ave. Lomas Verdes #1733
Rio Piedras Heights
Rio Piedras, PR 00926

Mailing address

PO Box 231
Saint Just, PR 00978-0231
Phone (787) 622-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090204000387 PR Practitioner - Clinical Psychologist 6800950965 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1574 Calle Bori
San Juan, PR 00927-6113
Phone (787) 545-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1999PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1114998929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "SAINT JUST",
            "state": "PR",
            "postal_code": "009780231",
            "telephone_number": "787-622-4433",
            "fax_number": "787-622-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LOMAS VERDES #1733",
            "address_2": "RIO PIEDRAS HEIGHTS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-622-4433",
            "fax_number": "787-622-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-ORTIZ",
        "first_name": "DORIS",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.