Doctor Name: | DR. ISMAEL GONZALEZ-MARTINEZ |
NPI Number: | 1538492152 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH. D. |
License Number: | 001736 |
Business Practice Address: | 605 Ave Condado Suite 603 San Juan, PR - 009073843 |
Business Phone Number: | 7877535353 |
Business Fax Number: | |
Mailing Address: | Po Box 8362, SAN JUAN |
State: | PR |
Postal Code: | 009100362 |
Phone Number: | 7877535353 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2009 |
NPI Last Update Date: | 02/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 001736 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |