Active NPI
Manuela I Gonzalez, PSY D
- Clinical Psychologist
- Caguas, PR
National Provider Identifier
1700848199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2250
- Practice address
- Calle Santa Maria M3 Local #1
Urbanizacion Bairoa
Caguas, PR 00725 - Phone
- (787) 948-7610
- Fax
- (787) 716-0946
- NPI assigned
- Apr 3, 2006
- 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 | 2250 | PR | Primary |
Addresses
Primary practice location
Calle Santa Maria M3 Local #1
Urbanizacion Bairoa
Caguas, PR 00725
Mailing address
Calle 3 C-12
Mansiones de Guaynabo
Guaynabo, PR 00969
Phone (787) 287-5359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050603000192 | PR | Practitioner - Clinical Psychologist | 2062455736 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2250 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Health Med Group Inc | Clinical | Past | Accepting new patients |
| Hector J Guerra | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Carolina, PR
- NPI 1083630156
-
- Clinical Psychologist
- Carolina, PR
- NPI 1295919231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700848199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 3 C-12",
"address_2": "MANSIONES DE GUAYNABO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-287-5359",
"fax_number": "787-287-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE SANTA MARIA M3 LOCAL #1",
"address_2": "URBANIZACION BAIROA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-948-7610",
"fax_number": "787-716-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MANUELA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PSY D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.