Active NPI
Maria A Gonzalez Pico, PSYD
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1457029936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7006
- Practice address
- 431 Avenida de la Constitucion
National Plaza 1601
San Juan, PR 00917 - Phone
- (787) 903-2354
- NPI assigned
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7006 | PR | Primary |
Addresses
Primary practice location
431 Avenida de la Constitucion
National Plaza 1601
San Juan, PR 00917
Mailing address
B5 Tabonuco St
Suite 216 PMB 344
Guaynabo, PR 00968
Phone (787) 587-0388
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7006 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1457029936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B5 TABONUCO ST",
"address_2": "SUITE 216 PMB 344",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00968",
"telephone_number": "787-587-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 AVENIDA DE LA CONSTITUCION",
"address_2": "NATIONAL PLAZA 1601",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-903-2354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ PICO",
"first_name": "MARIA",
"middle_name": "A",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "7006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.