Michelle Marie Gonzalez Diaz, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3552 Issued in PR

Practice address

458 Calle Jose Canals
Urb Roosevelt
Hato Rey, PR 00918

Phone

(787) 587-3656

Fax

(787) 753-8696

NPI assigned

Mar 3, 2010

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

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265755318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4N8 CALLE 206",
            "address_2": "COLINAS FAIR VIEW",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009768239",
            "telephone_number": "787-587-3656",
            "fax_number": "787-755-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 CALLE JOSE CANALS",
            "address_2": "URB ROOSEVELT",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-587-3656",
            "fax_number": "787-753-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DIAZ",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvira Giambartolomei, M.D.
• Evelyn Gomez
• Gloria M. Gonzalez - Tejera, M.D.
• Paulina Gonzalez Carcache, MD
• Modesto Fernando Gonzalez del Rosario
• Maria C Gonzalez Ramos
• Yvelisse Gonzalez Segui
• Ana Ines Gonzalez, MD
• Karen Gonzalez, RPH
• Veronica Gonzalez

• Clinical Psychologist in Hato Rey, PR
• Providers in Hato Rey, 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 Jul 21, 2022; 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.