Individual provider Active NPI

Sheila Joan Justiniano Rosario, PHD

  • Clinical Psychologist
  • Mayaguez, PR
National Provider Identifier
1194377531
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6373 Issued in PR
Practice address
445 Gonzalez Clemente Ave
Suite 203
Mayaguez, PR 00682-1136
Phone
(787) 217-2414
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6373 PR Primary

Addresses

Primary practice location

445 Gonzalez Clemente Ave
Suite 203
Mayaguez, PR 00682-1136

Mailing address

445 Gonzalez Clemente Ave, Suite 203
Mayaguez, PR 00682-1136
Phone (787) 217-2414

Other practice location 1

740 Ave Hostos Ste 308
Mayaguez, PR 00682-1541
Phone (787) 217-2414

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191223000208 PR Practitioner - Clinical Psychologist 0840624078 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

740 Ave Hostos
Suite 308
Mayaguez, PR 00682-1541
Phone (787) 217-2414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6373PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1194377531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 GONZALEZ CLEMENTE AVE, SUITE 203",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821136",
            "telephone_number": "787-217-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 GONZALEZ CLEMENTE AVE",
            "address_2": "SUITE 203",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821136",
            "telephone_number": "787-217-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Ave Hostos Ste 308",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006821541",
            "country_code": "US",
            "telephone_number": "787-217-2414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTINIANO ROSARIO",
        "first_name": "SHEILA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.