Active NPI
Marisol Gonzalez, PSYCOLOGY
- Psychologist
- Carolina, PR
National Provider Identifier
1760193080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7543
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7543 | Other | PR | 7543 |
Other names 1
- Mrs. Marisol Gonzalez
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | Health Information Exchange (HIE) | |
| Other URL | internet | Direct | |
| Other URL | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7543 | PR | MD | Psychologist |
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.