Julio Gonzalez del Valle, PHD
Individual provider Active NPI Clinical Psychologist · Caguas, PR
NPI 1386760940 · NPPES record last updated Apr 10, 2017
Key facts
- NPI
- 1386760940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1715 (PR)
- Practice address
- 106 Ave Jose Mercado
Calle Padial
Caguas, PR 00725-9743 - Phone
- (787) 642-1614
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051206000022 | PR | Practitioner - Clinical Psychologist | 4688694623 | Practice locations: Caguas, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1715 | PR | Yes |
Addresses
Primary practice location
106 Ave Jose Mercado
Calle Padial
Caguas, PR 00725-9743
Mailing address
HC-03 Box 41463
Caguas, PR 00725-9743
Phone (787) 642-1614
Other providers in Caguas, PR
- Gustavo J Gonzalez Astacio
- Gabriela Gonzalez Borrero
- Gerardo Gonzalez Collado
- Luis Francisco Gonzalez Colon
- Liza M Gonzalez Cruz
- Lisa Victoria Gonzalez Espada
- Nydia Gonzalez Lopez
- Maricely Xiomary Gonzalez Marrero
- Carlos Adrian Gonzalez Martinez
- Carlos Enrique Gonzalez Martinez
All providers in Caguas, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.