Active NPI
Dianelsie Guzman Gonzalez, PSY.D
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1548452006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1954
- Practice address
- 429 Calle Los Pinos Apt 1102
Condominio Floral Plaza
San Juan, PR 00917-3409 - Phone
- (939) 630-4640
- NPI assigned
- Aug 17, 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 | 1954 | PR | Primary |
Addresses
Primary practice location
429 Calle Los Pinos Apt 1102
Condominio Floral Plaza
San Juan, PR 00917-3409
Mailing address
Floral Park
432 Llorens Tores
San Juan, PR 00912-3955
Phone (939) 630-4640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1954 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1548452006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FLORAL PARK",
"address_2": "432 LLORENS TORES",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009123955",
"telephone_number": "939-630-4640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 CALLE LOS PINOS APT 1102",
"address_2": "CONDOMINIO FLORAL PLAZA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009173409",
"telephone_number": "939-630-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DIANELSIE",
"middle_name": "GUZMAN",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1954",
"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 Mar 21, 2017; 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.