Active NPI
Mitzy M Gonzalez
- Addiction (Substance Use Disorder) Counselor
- San Juan, PR
National Provider Identifier
1629948377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 89527
- Practice address
- Forward Center Building 105
Carr. Jose Kiko Custodio
San Juan, PR 00927 - Phone
- (939) 237-4793
- NPI assigned
- Nov 7, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 89527 | PR | Primary |
Addresses
Primary practice location
Forward Center Building 105
Carr. Jose Kiko Custodio
San Juan, PR 00927
Mailing address
Forward Center Building 105
Carr Jose Kiko Custodio KM. 0.8
San Juan, PR 00927
Phone (939) 237-4793
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89527 | PR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1629948377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FORWARD CENTER BUILDING 105",
"address_2": "CARR JOSE KIKO CUSTODIO KM. 0.8",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "939-237-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FORWARD CENTER BUILDING 105",
"address_2": "CARR. JOSE KIKO CUSTODIO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "939-237-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MITZY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-07",
"last_updated": "2025-11-07",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PR",
"license": "89527",
"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 Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.