Active NPI
Gretchen J Gonzalez Rivera, MS,PSY.D
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1518151109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1901
- Practice address
- 355 Ave Hostos
Urb. Roosevelt
San Juan, PR 00918-2322 - Phone
- (787) 767-4076
- Fax
- (787) 767-4076
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1901 | PR | Primary |
Addresses
Primary practice location
355 Ave Hostos
Urb. Roosevelt
San Juan, PR 00918-2322
Mailing address
10 Flamingo Apartments
Apto. 6201
Bayamon, PR 00959-4322
Phone (787) 410-6425
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1901 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1518151109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FLAMINGO APARTMENTS",
"address_2": "APTO. 6201",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009594322",
"telephone_number": "787-410-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 AVE HOSTOS",
"address_2": "URB. ROOSEVELT",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182322",
"telephone_number": "787-767-4076",
"fax_number": "787-767-4076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ RIVERA",
"first_name": "GRETCHEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MS,PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1901",
"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 Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.