Active NPI
Carmen Geraldine Gonzalez, PSY. D.
- Clinical Psychologist
- Arecibo, PR
National Provider Identifier
1609668995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6791
- Practice address
- Bo Miraflores Sec Palache Carr 2 R 638
K5 H3 Int
Arecibo, PR 00612 - Phone
- (787) 428-7744
- NPI assigned
- May 21, 2025
- 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 | 6791 | PR | Primary |
Addresses
Primary practice location
Bo Miraflores Sec Palache Carr 2 R 638
K5 H3 Int
Arecibo, PR 00612
Mailing address
HC 2 Box 5610
Bajadero, PR 00616-9789
Phone (787) 428-7744
Other practice location 1
HC 2 Box 5610
Bajadero, PR 00616-9789
Phone (787) 356-8864
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16 Calle Ana Lens de Susoni
Arecibo, PR 00612-4301
Phone (787) 428-7744
HC 2 Box
Suite 5610
Bajadero, PR 00616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6791 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumera Psychological & Wellness Center LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Arecibo, PR
- NPI 1295656668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1609668995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 5610",
"city": "BAJADERO",
"state": "PR",
"postal_code": "006169789",
"telephone_number": "787-428-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO MIRAFLORES SEC PALACHE CARR 2 R 638",
"address_2": "K5 H3 INT",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-428-7744"
}
],
"practiceLocations": [
{
"address_1": "HC 2 Box 5610",
"address_purpose": "LOCATION",
"city": "Bajadero",
"state": "PR",
"postal_code": "006169789",
"country_code": "US",
"telephone_number": "787-356-8864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CARMEN",
"middle_name": "GERALDINE",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.