Individual provider Active NPI

Cristian Gabriel Pellicier Rodriguez, M.S. IN PSYCHOLOGY

  • Health Service Psychologist
  • Sabana Grande, PR
National Provider Identifier
1245199231
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
8005 Issued in PR
Practice address
32HR VX4, CLL San Isidro, Final,
Sabana Grande, PR 00637
Phone
(787) 475-8714
NPI assigned
Jan 16, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X
Health Service Psychologist 103TH0100X 8005 PR Primary

Addresses

Primary practice location

32HR VX4, CLL San Isidro, Final,
Sabana Grande, PR 00637

Mailing address

3104 Paseo del Faro
Boqueron, PR 00622-9402
Phone (787) 475-8714

Other practice location 1

5VV8 M8Q Bda Manantiales, C Peral
Mayaguez, PR 00680
Phone (787) 475-8714

Other practice location 2

101 PR-101
Cabo Rojo, PR 00622
Phone (787) 475-8714

Other practice location 3

SVS Plaza I Local #208 Carr. #2 km 149.5Bo, Av. Algarro
Mayaguez, PR 00680
Phone (787) 475-8714

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8005PRMDHealth Service Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1245199231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 PASEO DEL FARO",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006229402",
            "telephone_number": "787-475-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32HR VX4, CLL SAN ISIDRO, FINAL,",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-475-8714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5VV8 M8Q Bda Manantiales, C Peral",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "00680",
            "country_code": "US",
            "telephone_number": "787-475-8714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 PR-101",
            "address_purpose": "LOCATION",
            "city": "Cabo Rojo",
            "state": "PR",
            "postal_code": "00622",
            "country_code": "US",
            "telephone_number": "787-475-8714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "SVS Plaza I Local #208 Carr. #2 km 149.5Bo, Av. Algarro",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "00680",
            "country_code": "US",
            "telephone_number": "787-475-8714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLICIER RODRIGUEZ",
        "first_name": "CRISTIAN",
        "middle_name": "GABRIEL",
        "credential": "M.S. IN PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "PR",
            "license": "8005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.