Individual provider Active NPI

Richard Marfisi Rodriguez, P.HD.

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1053079426
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7186 Issued in PR
Practice address
Urb. Perla del Sur Calle Carlos Cartagena Suite B
Ponce, PR 00717-1817
Phone
(939) 592-3091
NPI assigned
Dec 2, 2021
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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 7186 PR Primary

Addresses

Primary practice location

Urb. Perla del Sur Calle Carlos Cartagena Suite B
Ponce, PR 00717-1817

Mailing address

400 Cond la Ceiba Apt 905
Ponce, PR 00717-1817
Phone (787) 426-3936

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
I20220114000063 PR Practitioner - Clinical Psychologist 3577955939 Practice locations: Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7186PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1053079426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COND LA CEIBA APT 905",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171817",
            "telephone_number": "787-426-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. PERLA DEL SUR CALLE CARLOS CARTAGENA SUITE B",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171817",
            "telephone_number": "939-592-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARFISI RODRIGUEZ",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "P.HD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2022-10-13",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.