Active NPI
Rosa Del Mar Rodriguez
- Psychologist
- San Juan, PR
National Provider Identifier
1083161418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 005564
- Practice address
- 1607 Ponce de Leon Ave
Cobian's Plaza Building Suite 305
San Juan, PR 00940 - Phone
- (787) 320-3733
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 005564 | PR | Primary |
Addresses
Primary practice location
1607 Ponce de Leon Ave
Cobian's Plaza Building Suite 305
San Juan, PR 00940
Mailing address
609 Calle Cuevillas Apartment 8a
Miramar
San Juan, PR 00907
Phone (787) 320-3733
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005564 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1083161418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 CALLE CUEVILLAS APARTMENT 8A",
"address_2": "MIRAMAR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-320-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 PONCE DE LEON AVE",
"address_2": "COBIAN'S PLAZA BUILDING SUITE 305",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00940",
"telephone_number": "787-320-3733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ROSA",
"middle_name": "DEL MAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "005564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.