Active NPI
Carmen V Tosado Rodriguez, PSY. D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1093036626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1826
- Practice address
- Calle 2 Noreste 1003 Suite 2
Puerto Nuevo
San Juan, PR 00920 - Phone
- (787) 568-8865
- NPI assigned
- Jun 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1826 | PR | Primary |
Addresses
Primary practice location
Calle 2 Noreste 1003 Suite 2
Puerto Nuevo
San Juan, PR 00920
Mailing address
1212 Bulevar San Luis
Villas de Laurel I
Coto Laurel, PR 00780-2243
Phone (787) 568-8865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40026300 | Medicaid | PR |
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 |
|---|---|---|---|
| 1826 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1093036626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 BULEVAR SAN LUIS",
"address_2": "VILLAS DE LAUREL I",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "007802243",
"telephone_number": "787-568-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 2 NORESTE 1003 SUITE 2",
"address_2": "PUERTO NUEVO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-568-8865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOSADO RODRIGUEZ",
"first_name": "CARMEN",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40026300",
"state": "PR"
}
],
"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 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.