Ismael Gonzalez-Martinez, PH. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

003109 Issued in PR

Practice address

605 Ave Condado
Suite 603
San Juan, PR 00907-3843

Phone

(787) 753-5353

NPI assigned

Sep 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1538492152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8362",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100362",
            "telephone_number": "787-753-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 AVE CONDADO",
            "address_2": "SUITE 603",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073843",
            "telephone_number": "787-753-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-MARTINEZ",
        "first_name": "ISMAEL",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PR",
            "license": "001736",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PR",
            "license": "001736",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "001736",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "003109",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "003109",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PR",
            "license": "003109",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PR",
            "license": "003109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Raul Gonzalez-Inclan, M.D.
• Emmanuel Orlando Gonzalez-Irizarry, MD
• Carmen I Gonzalez-Keelan, M.D.
• Carlos M Gonzalez-Lugo, M.D.
• Miguel A Gonzalez-Manrique, MD
• Orlando Gabriel Gonzalez-Martinez, MD
• Ariana Gonzalez-Melendez, MD
• Edgardo Gonzalez-Ramirez, M.D.
• Maria-del-Carmen Gonzalez-Rios, MD
• Henry Gonzalez-Rivera, M.D.

• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.