Liana C Godreau, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2065 Issued in PR

Practice address

1326 Salud St
Edificio El Senorial Suite 415
Ponce, PR 00717-1689

Phone

(787) 259-1560

Fax

(787) 259-1560

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669515912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 GUADALYQUIVIR ST",
            "address_2": "URB RIO CANAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281825",
            "telephone_number": "787-598-0727",
            "fax_number": "787-259-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 SALUD ST",
            "address_2": "EDIFICIO EL SENORIAL SUITE 415",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171689",
            "telephone_number": "787-259-1560",
            "fax_number": "787-259-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODREAU",
        "first_name": "LIANA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1826",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "219107",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Global Diagnostics
• Go Gogo Foundation
• Go Gogo Foundation Corp.
• Go Gogo Foundation Corp.
• Go Gogo Foundation Corp.
• Luis Gilberto Godreau, MD
• Yamila Goenaga Vazquez, MD
• Goenaga Y Vazquez LLC
• Golden Valley Corp
• Goldenminds LLC

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.