Active NPI
Maria Leticia Reyes-Rabanillo, MD
- Psychiatry Physician
- San Juan, PR
National Provider Identifier
1255355863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12789
- Practice address
- VA Caribbean Healthcare System
10 Casia St.
San Juan, PR 00921 - Phone
- (787) 641-7582
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12789 | PR | Primary |
Addresses
Primary practice location
VA Caribbean Healthcare System
10 Casia St.
San Juan, PR 00921
Mailing address
T-5 MC Kinley Street
Parkville
Guaynabo, PR 00969
Phone (787) 731-3147
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12789 | PR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255355863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "T-5 MC KINLEY STREET",
"address_2": "PARKVILLE",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-731-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA CARIBBEAN HEALTHCARE SYSTEM",
"address_2": "10 CASIA ST.",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES-RABANILLO",
"first_name": "MARIA",
"middle_name": "LETICIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "12789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.