Gustavo Enrique Paez Rodriguez, MA

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

60 Ave Winston Churchill Apt 907
San Juan, PR 00926-6711

Phone

(787) 587-7569

NPI assigned

Apr 8, 2010

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1073839643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 AVE WINSTON CHURCHILL APT 907",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266711",
            "telephone_number": "787-587-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 AVE WINSTON CHURCHILL APT 907",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266711",
            "telephone_number": "787-587-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEZ RODRIGUEZ",
        "first_name": "GUSTAVO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Carlos Padro Jr.
• Jomaris Padron
• Virginia Padron, CRNA
• Gilberto Jose Padua Areizaga
• Ilean Padua-Octaviani
• Karla Paez Torres, M.S.
• Johnathan Pagan Busigo
• Patricia Pagan Cruz, RDN, LND
• Natasha J Pagan Diaz
• Carmen Yolanda Pagan Duran, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.