Provider Demographics
NPI:1750707014
Name:GONZALEZ-QUINTERO, CRISTINA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:
Last Name:GONZALEZ-QUINTERO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#1 AVE PALMA REAL
Mailing Address - Street 2:COND. MURANO APT. 13B1
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-642-9138
Mailing Address - Fax:
Practice Address - Street 1:#1 AVE PALMA REAL
Practice Address - Street 2:COND. MURANO APT. 13B1
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-642-9138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5461103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical