Individual provider Active NPI

Marisol Gonzalez, PSYCOLOGY

  • Psychologist
  • Carolina, PR
National Provider Identifier
1760193080
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7543 Issued in PR
Practice address
Urb Jardines de Country Club
Calle 14 S 6
Carolina, PR 00983-0000
Phone
(787) 639-1012
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7543 PR Primary

Addresses

Primary practice location

Urb Jardines de Country Club
Calle 14 S 6
Carolina, PR 00983-0000

Mailing address

Urb Jardines de Country Club
Calle 14 S 6
Carolina, PR 00983-0000
Phone (787) 639-1012

Other practice location 1

Urb Jardines de Country Club
calle 14 s 6
carolina, PR 00983-0000
Phone (787) 639-1012

Other identifiers 1

IdentifierTypeStateIssuer
7543OtherPR7543

Other names 1

  • Mrs. Marisol Gonzalez Professional name

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL n/a Health Information Exchange (HIE)
Other URL internet Direct
Other URL email Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
7543PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1760193080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB JARDINES DE COUNTRY CLUB",
            "address_2": "CALLE 14 S 6",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009830000",
            "telephone_number": "787-639-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB JARDINES DE COUNTRY CLUB",
            "address_2": "CALLE 14 S 6",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009830000",
            "telephone_number": "787-639-1012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb Jardines de Country Club",
            "address_2": "calle 14 s 6",
            "address_purpose": "LOCATION",
            "city": "carolina",
            "state": "PR",
            "postal_code": "009830000",
            "country_code": "US",
            "telephone_number": "787-639-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARISOL",
        "credential": "PSYCOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "7543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7543",
            "identifier": "7543",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "urb jardines de country club",
            "address_2": "calle 14 s 6",
            "city": "carolina",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009830000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "internet",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "urb jardines de country club",
            "address_2": "calle 14 s 6",
            "city": "carolina",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009830000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "Urb Jardines de Country Club",
            "address_2": "calle 14 s 6",
            "city": "carolina",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARISOL",
            "last_name": "GONZALEZ",
            "prefix": "MRS.",
            "credential": "PSYCHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.