Delta Wellness Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DELTA WELLNESS SERVICES

Practice address

20 Calle Reparto Pinero
Urb Pinero
San Juan, PR 00969-5650

Phone

(787) 644-4120

NPI assigned

Apr 26, 2024

Last updated

Apr 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tatiana M De Leon Rodriguez, PHDNPI 1457892440

Title

President

Phone

(787) 644-4120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tatiana M De Leon-Rodriguez, PHD

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1457892440
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1275389637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLAS DEL PILAR",
            "address_2": "C5 CALLE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265449",
            "telephone_number": "787-644-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CALLE REPARTO PINERO",
            "address_2": "URB PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009695650",
            "telephone_number": "787-644-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "DE LEON RODRIGUEZ",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-644-4120",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul A Delgado, D.M.D
• Ricardo Delgado
• Shairalee Delgado, MA
• Gustavo Andres Deliz Torres
• Reinaldo E. Deliz-Guzman, D.M.D.
• Demadi PSC
• Aurelio Demari
• Leshmarie Demorizi Guzman
• Leslie D Demorizi Guzman, MS
• Elizabeth Nicole Dempsey

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.