Idalisse M Gonzalez, MS
Psychologist, Health Service in Isabela, Puerto Rico
1053288456- Practice location
- 4972 Ave Militar, Isabela, PR 00662-4163
- Phone
- 787-365-0465
- Fax
- —
- Last updated
- October 20, 2025
Idalisse Marie Gonzalez is a Psychologist, Health Service based in Isabela, PR. Idalisse Marie Gonzalez practices in Isabela, PR and has the professional credentials of MS. The NPI Number for Idalisse Marie Gonzalez is 1053288456 and holds a License No. 7545 (PR). The current practice location address for Idalisse Marie Gonzalez is 4972 Ave Militar, Isabela, PR 00662-4163 and can be reached out via phone at 787-365-0465.
Provider Profile Details
- NPI Number
- 1053288456
- Provider Name
- Idalisse Marie Gonzalez
- Credential
- MS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4972 Ave Militar, Isabela, PR 00662-4163
- Phone Number
- 787-365-0465
- Primary Taxonomy
- Psychologist, Health Service · 103TH0100X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 20, 2025
- Last Update Date
- October 20, 2025
- Certification Date
- October 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4972 Ave Militar
Isabela, PR 00662-4163 - City
- Isabela
- State
- Puerto Rico
- Zip
- 00662-4163
- Phone Number
- 787-365-0465
Provider Business Mailing Address Details
- Address
- 4972 Ave Militar
Isabela, PR 00662-4163 - City
- Isabela
- State
- PR
- Zip
- 00662-4163
- Phone Number
- 787-365-0465
License Information
- License Number
- 7545
- License State
- PR
- Taxonomy
- Psychologist, Health Service · 103TH0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Idalisse M Gonzalez, MS?
The NPI number of Idalisse M Gonzalez, MS is 1053288456. It was assigned on October 20, 2025 and is currently active in the NPPES registry.
What is the specialty of Idalisse M Gonzalez, MS?
Idalisse M Gonzalez, MS is registered under the primary taxonomy Psychologist, Health Service (code 103TH0100X), licensed in PR under license number 7545.
Where does Idalisse M Gonzalez, MS practice?
The practice location is 4972 Ave Militar, Isabela, PR 00662-4163. The office can be reached at 787-365-0465 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053288456 directly on the NPPES registry website.