Cindy Gonzalez
Individual provider Active NPI Psychologist · Lares, PR
NPI 1356908511 · NPPES record last updated May 23, 2019
Key facts
- NPI
- 1356908511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2856 (PR)
- Practice address
- Car 453 K5.3 Bo Piletas Sector Soller
Lares, PR 00669 - Phone
- (787) 439-8372
- NPI assigned
- May 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2856 | PR | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2856 | PR | Yes |
Addresses
Primary practice location
Car 453 K5.3 Bo Piletas Sector Soller
Lares, PR 00669
Mailing address
HC 4 Box 44051
Lares, PR 00669-9590
Phone (787) 439-8372
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6007722 | Other | PR | DRIVER LICENCE |
Other providers in Lares, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.