Individual provider Active NPI

Maria M Pagan Rodriguez

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1285233296
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6681 Issued in PR
Practice address
Consolidated Mall Anexo B5
Caguas, PR 00726
Phone
(787) 704-0705
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6681 PR Primary

Addresses

Primary practice location

Consolidated Mall Anexo B5
Caguas, PR 00726

Mailing address

PO Box 9809
Caguas, PR 00726-9809
Phone (787) 704-0705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210204002283 PR Practitioner - Clinical Psychologist 0244644136 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6681PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Jul 13, 2024 Accepting new patients
Inspira Behavioral Care Corp. PastSince Oct 25, 2020 Accepting new patients
Inspira Psychiatric Services PSC Past Accepting new patients
Inspira Behavioral Care Corp. Past Accepting new patients
Inspira Mental Health Management PastSince Oct 31, 2020 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1285233296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9809",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269809",
            "telephone_number": "787-704-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MALL ANEXO B5",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-704-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.