Individual provider Active NPI

Heide Linnette Rodriguez-Ubinas, PH.D

  • Psychologist
  • San Juan, PR
National Provider Identifier
1225379555
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3154 Issued in PR
Practice address
954 Ave Ponce de Leon
Miramar Plaza Center, Suite 603
San Juan, PR 00907
Phone
(787) 310-2465
NPI assigned
Mar 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3154 PR Primary

Addresses

Primary practice location

954 Ave Ponce de Leon
Miramar Plaza Center, Suite 603
San Juan, PR 00907

Mailing address

954 Ave Ponce de Leon
Miramar Plaza Center, Suite 603
San Juan, PR 00907-3646
Phone (787) 310-2465

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
I20180724001590 PR Practitioner - Clinical Psychologist 4284981176 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

161 Calle Duffaut
San Juan, PR 00907

954 Ave Ponce de Leon
San Juan, PR 00907-3646
Phone (787) 310-2465

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3154PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1225379555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 AVE PONCE DE LEON",
            "address_2": "MIRAMAR PLAZA CENTER, SUITE 603",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073646",
            "telephone_number": "787-310-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 AVE PONCE DE LEON",
            "address_2": "MIRAMAR PLAZA CENTER, SUITE 603",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-310-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-UBINAS",
        "first_name": "HEIDE",
        "middle_name": "LINNETTE",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.