Melissa Gonzalez Diaz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10413 Issued in PR

Practice address

128 Los Andes
Monterrey
San Juan, PR 00926-0128

Phone

(787) 407-1601

NPI assigned

Apr 3, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1306102405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "ANGELES",
            "state": "PR",
            "postal_code": "006110133",
            "telephone_number": "787-407-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LOS ANDES",
            "address_2": "MONTERREY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260128",
            "telephone_number": "787-407-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DIAZ",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladybeth Gonzalez Cortes, MA
• Javier Alejandro Gonzalez Cosme, MD
• Ydelio Gonzalez Cueto Sr., MD
• Jose Arnaldo Gonzalez Cuevas, PA MD
• Fabiola Nicole Gonzalez Diaz
• Andrea Gonzalez Duenas, MD
• Sofia Isabel Gonzalez Espola
• Carlos Ruben Gonzalez Fuentes, M.D.
• Carlos J. Gonzalez Garcia, M.D.
• Stephanie Michelle Gonzalez Garcia, MD

• Clinical Social Worker in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.