Yaritsa Gonzalez, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2982 Issued in PR

Practice address

399 Munoz Rivera Local 5B
San Juan, PR 00918

Phone

(787) 909-0123

Fax

(787) 752-1222

NPI assigned

Apr 16, 2008

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1235303702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193416",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193416",
            "telephone_number": "787-530-4882",
            "fax_number": "787-753-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 MUNOZ RIVERA LOCAL 5B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-909-0123",
            "fax_number": "787-752-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Calle Federico Costa",
            "address_2": "Suite 22",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009181305",
            "country_code": "US",
            "telephone_number": "787-530-4882",
            "fax_number": "787-753-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "YARITSA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Lee Gonzalez
• Victor M Gonzalez, PSYCHOLGY
• Virgen Gonzalez, OPTICO
• Yamil R Gonzalez, MD
• Yarelys M Gonzalez, ND
• Yesimar Gonzalez III
• Zulema Gonzalez
• Zuleska Eunice Gonzalez, PHARMD
• Good Life Corp.
• Pedro J Gorbea Landron, OD OPTOMETRISTS

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Apr 7, 2020; 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.