Iris Angelica Gonzalez Rosa
Psychologist in Sierra Bayamon, Bayamon, PR. Individual provider (NPI-1).
NPI number1265063754
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1265063754
- Entity type
- Individual (NPI-1)
- Name
- Iris Angelica Gonzalez Rosa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2020
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 6363 | PR | Yes |
Practice location
Ave. West Main#26, Blq. 48 #22
Sierra Bayamon, Bayamon, PR 00961
Phone 787-391-0158
Mailing address
Urb. Paseo Real27 Calle Topacio
Dorado, PR 00646
Phone 787-391-0158
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