Active NPI
Sheila Joan Justiniano Rosario, PHD
- Clinical Psychologist
- Mayaguez, PR
National Provider Identifier
1194377531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6373
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6373 | PR | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.