Healthcare Provider Details

I. General information

NPI: 1144145327
Provider Name (Legal Business Name): MIGDALIA GONZALEZ VILLARRUBIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 107., BO. BORINQUEN
AGUADILLA PR
00603
US

IV. Provider business mailing address

38 VILLAS DE SOTOMAYOR
AGUADA PR
00602-2629
US

V. Phone/Fax

Practice location:
  • Phone: 939-321-9079
  • Fax: 939-312-9079
Mailing address:
  • Phone: 787-421-2466
  • Fax: 787-421-2466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number8736
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: