Christian Javier Gonzalez Jimenez, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

7655 Issued in PR

Practice address

140 Ave Las Cumbres Ste 201
Guaynabo, PR 00969-5527

Phone

(787) 510-5530

NPI assigned

Jun 23, 2023

Sex

Male

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Radiation Oncology and Psychiatry Services C.S.P.

  • Psychiatry Physician
  • Guaynabo, PR
  • NPI 1720474034
  NPD

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1851077929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4119",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009704119",
            "telephone_number": "787-510-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVE LAS CUMBRES STE 201",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695527",
            "telephone_number": "787-510-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ JIMENEZ",
        "first_name": "CHRISTIAN",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "7655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariano Gonzalez Fornes, 0698P
• Edwin Gonzalez Galarza, 0684B
• Nancy I Gonzalez Garcia, 1456B
• Karolane Arleen Gonzalez Gonzalez
• Dennis Gonzalez Hernandez, 0452B
• Zuleyka Gonzalez Lopez
• Mely Z Gonzalez Madera, CLINICAL SOCIAL WORK
• William Gonzalez Matos, 1159P
• Martin E Gonzalez Mendez, 0850B
• Joshua C Gonzalez Rivera, 1318P

• Clinical Neuropsychologist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Clinical Neuropsychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.