Peter Joe Gonzalez, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2111 Issued in PR

Practice address

First Hospital Panamericano
State Road, 787, KM. 1.5
Cidra, PR 00739-1400

Phone

(787) 739-5555

Fax

(787) 739-5544

NPI assigned

Mar 6, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952431314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H24 CALLE MIGUEL A GOMEZ",
            "address_2": "IDAMARIS GARDENS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007275718",
            "telephone_number": "787-632-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIRST HOSPITAL PANAMERICANO",
            "address_2": "STATE ROAD, 787, KM. 1.5",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391400",
            "telephone_number": "787-739-5555",
            "fax_number": "787-739-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PETER",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Gonzalez
• Jose Gonzalez, PYCHOLOGIST
• Jose Luis Gonzalez, M.D.
• Maisha Gonzalez
• Nicole Marie Gonzalez, DMD
• Richard Graulau Rosario, M.D.
• Martha Grillasca
• Grupo Fisiatrico de Cidra, PSC
• Grupo Integrado Medicina Primaria (Grupo Integrado Medicina Primaria Cidra)
• Grupo Integrado Medicina Primaria Inc (Grupo Integrado Medicina Primaria Ipa)

• Clinical Psychologist in Cidra, PR
• Providers in Cidra, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.