Individual provider Active NPI

Paloma Gonzalez Marques, PSY. D.

  • Clinical Psychologist
  • San German, PR
National Provider Identifier
1255571915
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3236 Issued in PR
Practice address
Urb. El Convento
Calle 2 B-30
San German, PR 00683
Phone
(413) 291-1806
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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 3236 PR Primary

Addresses

Primary practice location

Urb. El Convento
Calle 2 B-30
San German, PR 00683

Mailing address

Ciudadad Universitaria Ave. Periferal
Edif. B Apt. 801
Trujillo Alto, PUERTO RICO 00976
UM
Phone (787) 448-8031

Other practice location 1

Cooperativa Ciudad Universitaria
Ave.periferal Apt. 801B
trujillo alto, PR 00976
Phone (787) 448-8031

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

LicenseStateTypeSpecialty
3236PRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1255571915",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CIUDADAD UNIVERSITARIA AVE. PERIFERAL",
            "address_2": "EDIF. B APT. 801",
            "city": "TRUJILLO ALTO",
            "state": "PUERTO RICO",
            "postal_code": "00976",
            "telephone_number": "787-448-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. EL CONVENTO",
            "address_2": "CALLE 2 B-30",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "413-291-1806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cooperativa Ciudad Universitaria",
            "address_2": "Ave.periferal Apt. 801B",
            "address_purpose": "LOCATION",
            "city": "trujillo alto",
            "state": "PR",
            "postal_code": "00976",
            "country_code": "US",
            "telephone_number": "787-448-8031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ MARQUES",
        "first_name": "PALOMA",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.