Individual provider Active NPI

Cindy Kristina Gonzalez Agront, DRA

  • Clinical Psychologist
  • Moca, PR
National Provider Identifier
1871251165
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7162 Issued in PR
Practice address
Carr 125 KM 5.5
Bo Voladoras
Moca, PR 00676-0067
Phone
(787) 566-4173
NPI assigned
Dec 3, 2021
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 7162 PR Primary

Addresses

Primary practice location

Carr 125 KM 5.5
Bo Voladoras
Moca, PR 00676-0067

Mailing address

PO Box 1106
Moca, PR 00676-1106
Phone (787) 566-4173

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220328000075 PR Practitioner - Clinical Psychologist 4284027103 Practice locations: Moca, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psidep LLC Single Specialty CurrentSince Jan 9, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1871251165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1106",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006761106",
            "telephone_number": "787-566-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 125 KM 5.5",
            "address_2": "BO VOLADORAS",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760067",
            "telephone_number": "787-566-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ AGRONT",
        "first_name": "CINDY",
        "middle_name": "KRISTINA",
        "credential": "DRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.