Active NPI
Sara Idelise Rodriguez Torres, MCP
- Counseling Psychologist
- Guaynabo, PR
National Provider Identifier
1194424192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 005576
- Practice address
- Bo. Santa Rosa 3 Sector Los Rodriguez Carr. 833 KM 9.5
Guaynabo, PR 00971 - Phone
- (787) 949-7082
- NPI assigned
- Feb 28, 2023
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 005576 | PR | Primary |
Addresses
Primary practice location
Bo. Santa Rosa 3 Sector Los Rodriguez Carr. 833 KM 9.5
Guaynabo, PR 00971
Mailing address
HC 5 Box 7185
Guaynabo, PR 00971-9584
Phone (787) 949-7082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4700004 | Other | PR | ID |
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 |
|---|---|---|---|
| 005576 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1194424192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 5 BOX 7185",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009719584",
"telephone_number": "787-949-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO. SANTA ROSA 3 SECTOR LOS RODRIGUEZ CARR. 833 KM 9.5",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00971",
"telephone_number": "787-949-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ TORRES",
"first_name": "SARA",
"middle_name": "IDELISE",
"credential": "MCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-28",
"last_updated": "2023-02-28",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "005576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID",
"identifier": "4700004",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
- Kevin Rodriguez Rodriguez, 1404P
- Carmen Rocio Rodriguez Ruiz, M.D.
- Maria Alejandra Rodriguez Santiago, MD
- Vivian Rodriguez Silva, 1119P
- Carmelo Rodriguez Torres, 1547P
- Elvin Rodriguez Vazquez, 1599P
- Leslie A Rodriguez Vazquez, 1719P
- Cristobal R. Rodriguez-Arrillaga, DMD
- Carol Rodriguez-Cintron, MSW
- Magda Ivette Rodriguez-Colon, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.