Mayra Enid Rodriguez

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9649 Issued in PR

Practice address

H1 Hacienda la Gloria
Guayanilla, PR 00656-1516

Phone

(787) 608-3980

NPI assigned

Apr 10, 2024

Last updated

Apr 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1184477036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H1 HACIENDA LA GLORIA",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006561516",
            "telephone_number": "787-608-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H1 HACIENDA LA GLORIA",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006561516",
            "telephone_number": "787-608-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAYRA",
        "middle_name": "ENID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "9649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Luis Rivera Torres, CVT
• Frances Joanne Rodriguez Blasini
• Robert Rodriguez Perez, M.D.
• Arcangel Rodriguez, PH. D.
• Celia M Rodriguez
• Roseline Rodriguez, RPH
• Virgilio Rodriguez Jr., MD
• Ruvi Ultrasound Inc
• Ledif Sanchez
• Amy Santiago Montalvo, LCDA

• Addiction (Substance Use Disorder) Counselor in Guayanilla, PR
• Providers in Guayanilla, PR by specialty
• Addiction (Substance Use Disorder) Counselor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.