Maria L Rodriguez, LIC

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

005021 Issued in PR

Practice address

2972 Ave Emilio Fagot
Ponce, PR 00716-3615

Phone

(787) 651-7691

NPI assigned

Feb 7, 2024

Last updated

Feb 7, 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

Other names 1

• Maria L Rodriguez Professional name

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1205690575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800192",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007800192",
            "telephone_number": "787-383-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 AVE EMILIO FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163615",
            "telephone_number": "787-651-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "L",
        "credential": "LIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "005021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "RODRIGUEZ",
            "middle_name": "L",
            "credential": "LIC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Luis Alberto Rodriguez
• Lydia Mercedes Rodriguez
• Lyvian Lynette Rodriguez
• Maria D Rodriguez, LCSW
• Maria Gabriela Rodriguez, MD
• Mariana Isabel Rodriguez
• Mariela Rodriguez
• Migdalia Rodriguez, RPT
• Miguel A. Rodriguez, MSW
• Milagros Rodriguez

• Speech-Language Assistant in Ponce, PR
• Providers in Ponce, PR by specialty
• Speech-Language Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.