Active NPI
Litza Gorbea-Colon, PSY D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1265452031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 002401
- Practice address
- 420 Ave Ponce de Leon
Suite 412
San Juan, PR 00918-3416 - Phone
- (787) 365-9000
- NPI assigned
- Jul 21, 2006
- Last updated
- Aug 23, 2016
- 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 | 002401 | PR | Primary |
Addresses
Primary practice location
420 Ave Ponce de Leon
Suite 412
San Juan, PR 00918-3416
Mailing address
554 Calle Cuevillas
PH-B
Miramar, PR 00907-2533
Phone (787) 365-9000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002401 | PR | MD | Clinical Psychologist |
| 2401 | PR | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1265452031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 CALLE CUEVILLAS",
"address_2": "PH-B",
"city": "MIRAMAR",
"state": "PR",
"postal_code": "009072533",
"telephone_number": "787-365-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 AVE PONCE DE LEON",
"address_2": "SUITE 412",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183416",
"telephone_number": "787-365-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORBEA-COLON",
"first_name": "LITZA",
"name_prefix": "Dr.",
"credential": "PSY D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "002401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.