Idalisse Marie Gonzalez, MS

Individual provider Health Service Psychologist · NPI 1053288456

Idalisse Marie Gonzalez, MS is a Mental Health Counselor in Isabela, Puerto Rico. Qualified in 2018, 8 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying: 8
Licensed in: PR
In the registry since: 2025

What do these letters mean?

MS — Master of Science: A graduate science degree.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

4972 Ave Militar
Isabela, PR 00662-4163
Phone: (787) 365-0465

No coordinates on file. Search this address in Google Maps

Specialties & licences

Health Service Psychologist (primary)	Taxonomy 103TH0100X · Licence 7545 (PR)

Record details

NPI number	1053288456
Entity type	Individual (Type 1)
Gender	Female
Credentials	MS
Sole proprietor	Yes
NPI enumerated	October 20, 2025
Last updated in NPPES	October 20, 2025
Certification date	October 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2018 (8 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	3 on file with Medicare