Individual provider Active NPI

Jennifer M Gonzalez-Caban

  • Child & Adolescent Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1487021317
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
21798 Issued in PR
Practice address
H13 Plaza Siete
San Juan, PR 00926-1456
Phone
(787) 429-3820
NPI assigned
Aug 26, 2015
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21798 PR
Child & Adolescent Psychiatry Physician 2084P0804X 21798 PR Primary

Addresses

Primary practice location

H13 Plaza Siete
San Juan, PR 00926-1456

Mailing address

H13 Plaza Siete
San Juan, PR 00926-1456
Phone (787) 429-3820

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

LicenseStateTypeSpecialty
21798PRMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ad Meliora LLC Child & Adolescent Psychiatry CurrentSince Apr 9, 2024 Accepting new patients
Centro de Salud Conductual Menonita Cima Past Accepting new patients
Mennonite General Hospital Inc. Past Accepting new patients
San Juan Capestrano Hospital, Inc. Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1487021317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H13 PLAZA SIETE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261456",
            "telephone_number": "787-429-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H13 PLAZA SIETE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261456",
            "telephone_number": "787-429-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-CABAN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "21798",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "21798",
            "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 Apr 1, 2024; 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.