Michelle Linaris Lorenzo Gonzalez, MD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004115 Issued in PR

Practice address

Carr 411 KM 5.9
Aguada, PR 00602-0060

Phone

(939) 286-7050

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Michelle L Lorenzo Professional name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Innovus Therapy Group LLC

  • Speech-Language Pathologist
  • Aguada, PR
  • NPI 1205543881

  Clinical, PR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1467935700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 60 BOX 15262",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "939-286-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 411 KM 5.9",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020060",
            "telephone_number": "939-286-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO GONZALEZ",
        "first_name": "MICHELLE",
        "middle_name": "LINARIS",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14406",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "004115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5079064",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LORENZO",
            "middle_name": "L",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sanyia S. Lopez Villanueva, MD
• Carmen Maria Lopez, O.T.L.
• Irene Idaliza Lopez, MD
• Ivette D Lopez
• Kiara Lopez
• Haydee L Lorenzo Ramirez, PSY'D
• Ismaly Lorenzo-Matias, AU.D.
• Amanda Lee Lorenzo, LCSW
• Janice Lorenzo, MSW
• Jasmin Jenil Lorenzo, PSY.D

• All providers in Aguada, PR
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.