Active NPI
Rosamari Pena, PSY.D.
- Psychologist
- Santurce, PR
National Provider Identifier
1124340831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3618
- Practice address
- 607 Ave Condado
Cond. Condado Ste. 401
Santurce, PR 00907-3845 - Phone
- (787) 361-9205
- NPI assigned
- Feb 22, 2010
- 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 | 3618 | PR | Primary |
Addresses
Primary practice location
607 Ave Condado
Cond. Condado Ste. 401
Santurce, PR 00907-3845
Mailing address
Caparra Town Park # C-14
#16 Calle Luhn
Guaynabo, PR 00966-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100723000824 | PR | Practitioner - Psychologist Billing Independently | 7113059213 | Practice locations: Guaynabo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3618 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vmedical Group PSC | Past | 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.
-
- General Practice Physician
- San Juan, PR
- NPI 1295353910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1124340831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CAPARRA TOWN PARK # C-14",
"address_2": "#16 CALLE LUHN",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009666400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 AVE CONDADO",
"address_2": "COND. CONDADO STE. 401",
"city": "SANTURCE",
"state": "PR",
"postal_code": "009073845",
"telephone_number": "787-361-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "ROSAMARI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "3618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santurce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.