Luz Yiraida Gonzalez Rodriguez, PHD.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4276 Issued in PR

Practice address

Paseo San Isidro Suite 2
Carr. 188 KM 2.0, Esquina C/6 Y C6A, San Isidro
Canovanas, PR 00729-0000

Phone

(787) 368-4614

NPI assigned

Oct 18, 2012

Last updated

Apr 30, 2024By 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

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Centro Embrace Life, Corp

  • Counseling Psychologist
  • Gurabo, PR
  • NPI 1912525999
  NPD
• Psicologia Amor & Arte LLC

  • Counseling Psychologist
  • Canovanas, PR
  • NPI 1114779873
  NPD

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1770836447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290697",
            "telephone_number": "787-957-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO SAN ISIDRO SUITE 2",
            "address_2": "CARR. 188 KM 2.0, ESQUINA C/6 Y C6A, SAN ISIDRO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290000",
            "telephone_number": "787-368-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ RODRIGUEZ",
        "first_name": "LUZ",
        "middle_name": "YIRAIDA",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2024-04-30",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorimar Santos Llanos PSC
• Wilfred Gomez Saldana, MD
• Mairalisa Gomez-Fortuna, M.D.
• Juan Gonzalez Diaz, MD
• Bethzaida Gonzalez Galarza
• Juan a Gonzalez Skerrett, MD
• Elia M. Gonzalez, RPT
• Josue D Gonzalez, RN
• Desiree Gordils Galarza
• Grupo Medico Crespo Orozco PSC

• Counseling Psychologist in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.