Individual provider Active NPI

Rosa Janet Rodriguez, PHD.

  • Clinical Psychologist
  • Santurce, PR
National Provider Identifier
1003040361
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2896 Issued in PR
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2896PRMDPharmacy 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.

Verify at the official NPI Registry.