Ruth L Gonzalez, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3553 Issued in PR

Practice address

359 Calle San Claudio
Ste. 206 Cupey Professional Mall
San Juan, PR 00926-9907

Phone

(787) 310-7900

NPI assigned

Jan 28, 2010

Last updated

May 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pravan Wellness, LLC

  • Clinic/Center
  • San Juan, PR
  • NPI 1780227504
  Authorized official Same address or phone

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1740511880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVE LOS CHALETS",
            "address_2": "APT 25",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264462",
            "telephone_number": "787-310-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 CALLE SAN CLAUDIO",
            "address_2": "STE. 206 CUPEY PROFESSIONAL MALL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269907",
            "telephone_number": "787-310-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RUTH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Sofia Gonzalez
• Rafael Alberto Gonzalez, PH.D.
• Ramon H. Gonzalez, M.D.
• Rebecca I Gonzalez
• Ricky Omar Gonzalez, DMD
• Semiramis Gonzalez, DMD,MSD,MPH
• Shakira J Gonzalez
• Sol Ednita Gonzalez, PH.D
• Veronica Lee Gonzalez
• Victor M Gonzalez, PSYCHOLGY

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 May 10, 2021; 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.