Juan Anibal Gonzalez-Rivera, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6060 Issued in PR

Practice address

Carr 695 KM 2.0
Bo Higuillar
Dorado, PR 00646

Phone

(787) 315-6034

NPI assigned

Jun 20, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Innova Psychological Group, LLC

  • Clinical Psychologist
  • Dorado, PR
  • NPI 1861057580
  NPD Authorized official

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1285128447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AVE WEST MAIN APT 215",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613875",
            "telephone_number": "787-315-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 695 KM 2.0",
            "address_2": "BO HIGUILLAR",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-315-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-RIVERA",
        "first_name": "JUAN",
        "middle_name": "ANIBAL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aitor Gonzalez Fernandez, MPH
• Rigoberto Gonzalez Jimenez, MD
• Glorielle Gonzalez Reyes, RDN, LND
• Lydiaris Gonzalez Reyes, M.D.
• Sugeily Gonzalez Ruiz
• Mario Roberto Gonzalez-Torres, M.D., DABPN
• Ileana M Gonzalez, PHD
• Jennifer Gonzalez
• Mario David Gonzalez, PT
• Oscar Gonzalez

• Clinical Psychologist in Dorado, PR
• Providers in Dorado, 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 May 20, 2021; 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.