Individual provider Active NPI

Carmen Geraldine Gonzalez, PSY. D.

  • Clinical Psychologist
  • Arecibo, PR
National Provider Identifier
1609668995
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6791 Issued in PR
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

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
6791PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lumera Psychological & Wellness Center LLC PastSince May 25, 2025 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.

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

Verify at the official NPI Registry.