Active NPIIndividual providerSole proprietor

Mitzy M Gonzalez

Counselor, Addiction (Substance Use Disorder) in San Juan, Puerto Rico

NPI Number1629948377
Practice location
Forward Center Building 105, Carr. Jose Kiko Custodio, San Juan, PR 00927
Fax
—
Last updated
November 7, 2025

Mitzy M Gonzalez is a Counselor, Addiction (Substance Use Disorder) based in San Juan, PR. Mitzy M Gonzalez practices in San Juan, PR. The NPI Number for Mitzy M Gonzalez is 1629948377 and holds a License No. 89527 (PR). The current practice location address for Mitzy M Gonzalez is Forward Center Building 105, Carr. Jose Kiko Custodio, San Juan, PR 00927 and can be reached out via phone at 939-237-4793.

Provider Profile Details

NPI Number
1629948377
Provider Name
Mitzy M Gonzalez
Provider Entity Type
Individual
Gender
Female
Address
Forward Center Building 105, Carr. Jose Kiko Custodio, San Juan, PR 00927
Phone Number
939-237-4793
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
November 7, 2025
Last Update Date
November 7, 2025
Certification Date
October 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Forward Center Building 105
Carr. Jose Kiko Custodio
San Juan, PR 00927
Zip
00927
Phone Number
939-237-4793
San Juan, PR 00927Get directions →

Provider Business Mailing Address Details

Address
Forward Center Building 105
Carr Jose Kiko Custodio Km. 0.8
San Juan, PR 00927
City
San Juan
State
PR
Zip
00927
Phone Number
939-237-4793

License Information

License Number
89527
License State
PR
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Mitzy M Gonzalez?

The NPI number of Mitzy M Gonzalez is 1629948377. It was assigned on November 7, 2025 and is currently active in the NPPES registry.

What is the specialty of Mitzy M Gonzalez?

Mitzy M Gonzalez is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in PR under license number 89527.

Where does Mitzy M Gonzalez practice?

The practice location is Forward Center Building 105, Carr. Jose Kiko Custodio, San Juan, PR 00927. The office can be reached at 939-237-4793 (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 1629948377 directly on the NPPES registry website.

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