Healthcare Provider Details

I. General information

NPI: 1841157021
Provider Name (Legal Business Name): PAOLA ANDREA CORTES GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE JUAN SAN ANTONIO EDIFICIO 207 - PUEBLO MOCA
MOCA PR
00676
US

IV. Provider business mailing address

PO BOX 4180
AGUADILLA PR
00605-4180
US

V. Phone/Fax

Practice location:
  • Phone: 787-877-7605
  • Fax:
Mailing address:
  • Phone: 787-669-2194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number8689
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: