Active NPI
Carmen Ines Gonzalez, T.S.
- Mental Health Counselor
- Aibonito, PR
National Provider Identifier
1386974046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2893
- Practice address
- Carr Estatal 14 Int Calle Sargento Gerardo Santiago
Aibonito, PR 00705-1379 - Phone
- (787) 714-2462
- Fax
- (787) 735-3749
- NPI assigned
- Dec 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2893 | PR | Primary |
Addresses
Primary practice location
Carr Estatal 14 Int Calle Sargento Gerardo Santiago
Aibonito, PR 00705-1379
Mailing address
PO Box 1379
Aibonito, PR 00705-1379
Phone (787) 714-2462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Trade School Graduate
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2893 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262217600000",
"number": "1386974046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1379",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007051379",
"telephone_number": "787-714-2462",
"fax_number": "787-735-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR ESTATAL 14 INT CALLE SARGENTO GERARDO SANTIAGO",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007051379",
"telephone_number": "787-714-2462",
"fax_number": "787-735-3749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CARMEN",
"middle_name": "INES",
"name_prefix": "Ms.",
"credential": "T.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-31",
"last_updated": "2009-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PR",
"license": "2893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.