Neysha Ivelisse Rodriguez Diaz

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6128 Issued in PR

Practice address

HC74 Bo Nuevo
Carretera 815
Naranjito, PR 00719

Phone

(787) 702-6606

NPI assigned

Jul 2, 2018

Last updated

Jul 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1255827283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190220",
            "telephone_number": "787-702-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC74 BO NUEVO",
            "address_2": "CARRETERA 815",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-702-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ DIAZ",
        "first_name": "NEYSHA",
        "middle_name": "IVELISSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mileiny Rivera, M.S.W.
• Nilsa Marilys Rivera, R.PH.
• Sheila Noemi Rivera
• Sol A Rivera, RPH
• Wanda Ivelisse Rivera
• Angel Rafael Rodriguez Lopez
• Claribel Rodriguez Lopez, OTRL
• Marilyn Rodriguez Ortiz, MD
• Natalia Maria Rodriguez Rivera
• Emeline Rodriguez Soto, MD

• Clinical Psychologist in Naranjito, PR
• Providers in Naranjito, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.