Jeannie Lee Rosario Otero, PLC, MHS, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8889 Issued in PR

Practice address

319 Calle San Agustin # 321
San Juan, PR 00901-2954

Phone

(787) 480-3788

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1003428319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I58 CALLE CAPITAN CORREA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009594973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 CALLE SAN AGUSTIN # 321",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012954",
            "telephone_number": "787-480-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO OTERO",
        "first_name": "JEANNIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PLC, MHS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "4829",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Rosario Gonzalez, MEDICAL SCHOOL
• Reinaldo Rosario Guardiola, M.D.
• Sandra E Rosario Lebron, MD, FCCP
• Nicole Rosario Martinez, ATO/L
• Yamira Rosario Munoz
• Gabriela Alexandra Rosario Reguero
• Lizann Mari Rosario Rios
• Jesus Manuel Rosario Rivera
• Ileana Rosario Rodriguez
• Yarelis Rosario Rodriguez, PHARMD

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.