Individual
DR. ISMAEL GONZALEZ-MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
605 AVE CONDADO, SUITE 603, SAN JUAN, PR 00907-3843
(787) 753-5353
Mailing address
PO BOX 8362, SAN JUAN, PR 00910-0362
(787) 753-5353
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
001736
PR
101YM0800X
Mental Health Counselor
001736
PR
101YP2500X
Professional Counselor
001736
PR
103T00000X
Psychologist
Primary
003109
PR
103TC1900X
Counseling Psychologist
003109
PR
103TF0000X
Family Psychologist
003109
PR
103TP2701X
Group Psychotherapy Psychologist
003109
PR
Other
Enumeration date
09/15/2009
Last updated
02/19/2010
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