Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDALISSE MARIE GONZALEZ, MS
Active Sole ProprietorIDALISSE MARIE GONZALEZ, MS is a Health Service Psychologist healthcare provider located in ISABELA, Puerto Rico. NPI 1053288456 is currently active in the NPPES registry. Verify at CMS.
Health Service Psychologist · ISABELA, PR
Registration Details
- NPI Number
- 1053288456
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2025 (0.78318277598275 yrs)
- Last Updated
- Oct 20, 2025
- License
-
7545 (PR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4972 AVE MILITARISABELA, PR, 006624163Browse PR providers · Browse ZIP 00662
- Phone
- 7873650465
- Primary Specialty
-
Health Service Psychologist
103TH0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.