Individual provider Active NPI

Nixalys Gonzalez Martinez, PSY.D

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1255502860
Registry record updated Mar 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2981 Issued in PR
Practice address
129 Calle Villa
Apt. 41-42
Ponce, PR 00730-4902
Phone
(787) 226-4460
Fax
(787) 849-3039
NPI assigned
Mar 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2981 PR Primary

Addresses

Primary practice location

129 Calle Villa
Apt. 41-42
Ponce, PR 00730-4902

Mailing address

PO Box 260
Hormigueros, PR 00660-0260

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

State licenses

LicenseStateTypeSpecialty
2981PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1206144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206144000000",
    "number": "1255502860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CALLE VILLA",
            "address_2": "APT. 41-42",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304902",
            "telephone_number": "787-226-4460",
            "fax_number": "787-849-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MARTINEZ",
        "first_name": "NIXALYS",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-22",
        "last_updated": "2008-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.