Provider Demographics
NPI:1437471463
Name:HERNANDEZ GONZALEZ, LILIANA (PHD)
Entity Type:Individual
Prefix:
First Name:LILIANA
Middle Name:
Last Name:HERNANDEZ GONZALEZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB PLAZUELA ESTATES 291
Mailing Address - Street 2:CALLE SAN VICENTE
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617
Mailing Address - Country:US
Mailing Address - Phone:787-364-0686
Mailing Address - Fax:
Practice Address - Street 1:URB PLAZUELA ESTATES 291
Practice Address - Street 2:CALLE SAN VICENTE
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-3509
Practice Address - Country:US
Practice Address - Phone:787-364-0686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3562103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical