Individual provider Active NPI

Edward Santiago Rodriguez, PH.D, M.A.

  • Clinical Psychologist
  • San German, PR
National Provider Identifier
1013226083
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1589 Issued in PR
Practice address
San German Medical Plaza
Suite 2
San German, PR 00683-1560
Phone
(787) 617-2373
NPI assigned
Sep 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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 1589 PR Primary

Addresses

Primary practice location

San German Medical Plaza
Suite 2
San German, PR 00683-1560

Mailing address

PO Box 5103 P.M.B. 79
Cabo Rojo, PR 00623-5103
Phone (787) 617-2373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122002010 PR Practitioner - Clinical Psychologist 0143715003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
San Juan, PR 00936

PO Box
Suite 5103
Cabo Rojo, PR 00623-5103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1589PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Esr Psychological Services LLC CurrentSince Nov 15, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1013226083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5103 P.M.B. 79",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006235103",
            "telephone_number": "787-617-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN GERMAN MEDICAL PLAZA",
            "address_2": "SUITE 2",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831560",
            "telephone_number": "787-617-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO RODRIGUEZ",
        "first_name": "EDWARD",
        "credential": "PH.D, M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.