Individual provider Active NPI

Itza Michelle Roman Rodriguez

  • Counseling Psychologist
  • Vega Baja, PR
National Provider Identifier
1245157510
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
009175 Issued in PR
Practice address
156 Ext Betances Suite 2
Vega Baja, PR 00693-3919
Phone
(787) 359-5015
NPI assigned
Jun 29, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 009175 PR Primary

Addresses

Primary practice location

156 Ext Betances Suite 2
Vega Baja, PR 00693-3919

Mailing address

471 Jardin de Lirios
Vega Baja, PR 00693-3919
Phone (787) 248-1611

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

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1245157510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 JARDIN DE LIRIOS",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933919",
            "telephone_number": "787-248-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 EXT BETANCES SUITE 2",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933919",
            "telephone_number": "787-359-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN RODRIGUEZ",
        "first_name": "ITZA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "009175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.