Lourdes A. Gonzalez Vazquez

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2113 Issued in PR

Practice address

Ave. Munoz Rivera 1007
Edificio Darlington Oficina 902
San Juan, PR 00927

Phone

(787) 529-1802

NPI assigned

Jun 26, 2020

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)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1427675347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. AMERICO MIRANDA 401",
            "address_2": "COOP LOS ROBLES 806-B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-529-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. MUNOZ RIVERA 1007",
            "address_2": "EDIFICIO DARLINGTON OFICINA 902",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-529-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ VAZQUEZ",
        "first_name": "LOURDES",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Luis Gonzalez Torres, M.D.
• Sofia Marie Gonzalez Torres, MS, OTR/L
• Mariannette Gonzalez Troche, DMD
• Miguel Angel Gonzalez Ugarte, MD
• Joshmel Gonzalez Usischon, PHARMD.
• Cosme Miguel Gonzalez Villaman, M.D
• Omar A Gonzalez Yanes
• Carlos Gonzalez-Aquino, MD
• Marybel Gonzalez-Badillo, MD
• Mayra Lynne Gonzalez-Bayron, MD

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Jun 26, 2020; 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.