Active NPIIndividual providerSole proprietor

Dr. Jose A Gonzalez, MSW, PHD

Psychologist, Counseling in Aguas Buenas, Puerto Rico

NPI Number1063614097
Practice location
Padre Sercu, #9, Aguas Buenas, PR 00703
Fax
—
Last updated
March 16, 2023

Jose Antonio Gonzalez is a Psychologist, Counseling based in Aguas Buenas, PR. Jose Antonio Gonzalez practices in Aguas Buenas, PR and has the professional credentials of MSW, PHD. The NPI Number for Jose Antonio Gonzalez is 1063614097 and holds a License No. 4122 (PR). The current practice location address for Jose Antonio Gonzalez is Padre Sercu, #9, Aguas Buenas, PR 00703 and can be reached out via phone at 787-313-8676.

Provider Profile Details

NPI Number
1063614097
Provider Name
Jose Antonio Gonzalez
Credential
MSW, PHD
Provider Entity Type
Individual
Gender
Male
Address
Padre Sercu, #9, Aguas Buenas, PR 00703
Phone Number
787-313-8676
Primary Taxonomy
Psychologist, Counseling · 103TC1900X
Sole Proprietor
Yes
Provider Enumeration Date
June 1, 2007
Last Update Date
March 16, 2023
Certification Date
March 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
Padre Sercu
#9
Aguas Buenas, PR 00703
Zip
00703
Phone Number
787-313-8676
Aguas Buenas, PR 00703Get directions →

Provider Business Mailing Address Details

Address
70 Calle Alamanda Apt 1036
Guaynabo, PR 00971-7503
City
Guaynabo
State
PR
Zip
00971-7503
Phone Number
787-313-8676

License Information

License Number (1)
4122
License State (1)
PR
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
8884
License State (2)
PR
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
4122
License State (3)
PR
Taxonomy (3)
Psychologist, Counseling · 103TC1900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Jose A Gonzalez, MSW, PHD?

The NPI number of Dr. Jose A Gonzalez, MSW, PHD is 1063614097. It was assigned on June 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jose A Gonzalez, MSW, PHD?

Dr. Jose A Gonzalez, MSW, PHD is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in PR under license number 4122.

Where does Dr. Jose A Gonzalez, MSW, PHD practice?

The practice location is Padre Sercu, #9, Aguas Buenas, PR 00703. The office can be reached at 787-313-8676 (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 1063614097 directly on the NPPES registry website.

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