Provider Demographics
NPI:1942326863
Name:GONZALEZ ELIAS, GISELA (PHD)
Entity Type:Individual
Prefix:MRS
First Name:GISELA
Middle Name:
Last Name:GONZALEZ ELIAS
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 1:207 VILLA TULI
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-7539
Mailing Address - Country:US
Mailing Address - Phone:787-402-9779
Mailing Address - Fax:
Practice Address - Street 1:296 CALLE RAMON EMETERIO BETANCES
Practice Address - Street 2:OFICINA 5
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-402-9779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12101103T00000X
PR2251103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist