Provider Demographics
NPI:1215800545
Name:GONZALEZ VIERA, NAHOMI (PSY D)
Entity type:Individual
Prefix:DR
First Name:NAHOMI
Middle Name:
Last Name:GONZALEZ VIERA
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1040
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-1040
Mailing Address - Country:US
Mailing Address - Phone:787-318-6699
Mailing Address - Fax:
Practice Address - Street 1:2431 EDIFICIO PORRATA PILA
Practice Address - Street 2:BLVD LUIS A FERRE SUITE 208
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2115
Practice Address - Country:US
Practice Address - Phone:787-404-1645
Practice Address - Fax:787-259-5555
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8157103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist