Active NPI
Rosa Janet Rodriguez, PHD.
- Clinical Psychologist
- Santurce, PR
National Provider Identifier
1003040361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2896
- Practice address
- 1607 Ave Ponce de Leon
Suite 109 Cobian's Plaza
Santurce, PR 00909-1820 - Phone
- (787) 903-9222
- Fax
- (787) 773-8303
- NPI assigned
- May 14, 2009
- Last updated
- May 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2896 | PR | Primary |
Addresses
Primary practice location
1607 Ave Ponce de Leon
Suite 109 Cobian's Plaza
Santurce, PR 00909-1820
Mailing address
V15 Calle Turey
Extension Caguax
Caguas, PR 00725-3337
Phone (787) 903-9222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2896 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1003040361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "V15 CALLE TUREY",
"address_2": "EXTENSION CAGUAX",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007253337",
"telephone_number": "787-903-9222",
"fax_number": "787-773-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 AVE PONCE DE LEON",
"address_2": "SUITE 109 COBIAN'S PLAZA",
"city": "SANTURCE",
"state": "PR",
"postal_code": "009091820",
"telephone_number": "787-903-9222",
"fax_number": "787-773-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ROSA",
"middle_name": "JANET",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santurce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.