Active NPI
Dimary Gonzalez, PSY.D
- Clinical Psychologist
- Cabo Rojo, PR
National Provider Identifier
1497786909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2397
- Practice address
- 40 Calle Brau
Cabo Rojo, PR 00623 - Phone
- (787) 221-8055
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 8, 2007
- 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 | 2397 | PR | Primary |
Addresses
Primary practice location
40 Calle Brau
Cabo Rojo, PR 00623
Mailing address
E43 Calle Mariana Bracetti
Urb. Borinquen
Cabo Rojo, PR 00623-3348
Phone (787) 642-3237
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061215000424 | PR | Practitioner - Clinical Psychologist | 8224037478 | Practice locations: Cabo Rojo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2397 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497786909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E43 CALLE MARIANA BRACETTI",
"address_2": "URB. BORINQUEN",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006233348",
"telephone_number": "787-642-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CALLE BRAU",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "00623",
"telephone_number": "787-221-8055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DIMARY",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabo Rojo, PR
- Geriatric Health Care (Health Care Transport)
- Geriatric Medicine LLC
- God Blessed Hospice
- Aysha N. Gonzalez Santiago, PSYD
- Jazmin Gonzalez-Flores
- Rosarito Gonzalez
- Grupo de Medicina Primaria Caborrojena, CSP
- Grupo Dental Cma (Clinican Dental San Miguel)
- Zayra M. Guasp-Soto, PH.D.
- Juan Carlos Guzman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.