Provider Demographics
NPI:1598657686
Name:PIERLUISI GONZALEZCOYA, PATRICIA DE LOS ANGELES
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:DE LOS ANGELES
Last Name:PIERLUISI GONZALEZCOYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 AVE ESMERALDA PMB 585
Mailing Address - Street 2:STE 2
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4466
Mailing Address - Country:US
Mailing Address - Phone:787-600-3985
Mailing Address - Fax:
Practice Address - Street 1:R5 CALLE CUPEY GDNS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7333
Practice Address - Country:US
Practice Address - Phone:787-292-0903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8503103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty