Elsie M. Gonzalez, PSY.D, MSW

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3882 Issued in PR

Practice address

Santa Cruz Street 73
Edificio Santa Cruz Ste 314
Bayamon, PR 00961

Phone

(787) 787-0171

Fax

(787) 395-7451

NPI assigned

Feb 28, 2011

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Santa Cruz Physicians Group, P.S.C.

  • Primary Care Clinic/Center
  • Bayamon, PR
  • NPI 1598976300
  NPD (past)

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465084800000",
    "number": "1457659484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PALACIOS REALES 137 CALLE ZARZUELA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009534912",
            "telephone_number": "787-310-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA CRUZ STREET 73",
            "address_2": "EDIFICIO SANTA CRUZ STE 314",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-787-0171",
            "fax_number": "787-395-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ELSIE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2016-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adianeliz Gonzalez, OT
• Alexis Tomas Gonzalez, M.D.
• Brunilmarie Gonzalez
• Carmen C Gonzalez, RN MSN
• Desiree Gonzalez, RN
• Enrique A Gonzalez, DMD
• Eric M Gonzalez, MD, MPH
• Gloria Francisca Gonzalez, DIETITIAN
• Glorivette Gonzalez, LND
• Iraida Gonzalez

• Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.