Individual provider Active NPI

Sarai Milagros Mora Rodriguez

  • Counseling Psychologist
  • Cayey, PR
National Provider Identifier
1295019420
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3909 Issued in PR
Practice address
101 Sur Calle Corchado
Esquina Nunez Romeu
Cayey, PR 00736-4718
Phone
(787) 738-7455
Fax
(787) 738-7455
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3909 PR Primary

Addresses

Primary practice location

101 Sur Calle Corchado
Esquina Nunez Romeu
Cayey, PR 00736-4718

Mailing address

PO Box 4960
PMB 413
Caguas, PR 00726-4960
Phone (787) 413-1331

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
I20231002000458 PR Practitioner - Clinical Psychologist 9335593920 Practice locations: Cayey, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapeutic Health System, PSC CurrentSince Sep 17, 2023 Accepting new patients
Psychotherapeutic Health System, PSC PastSince Sep 17, 2023 Accepting new patients

Locations

101 Calle Nunez Romeu E
Cayey, PR 00736
Phone (787) 738-7455

Organizations & group practices 2

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1295019420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4960",
            "address_2": "PMB 413",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264960",
            "telephone_number": "787-413-1331",
            "fax_number": "787-738-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SUR CALLE CORCHADO",
            "address_2": "ESQUINA NUNEZ ROMEU",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364718",
            "telephone_number": "787-738-7455",
            "fax_number": "787-738-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA RODRIGUEZ",
        "first_name": "SARAI",
        "middle_name": "MILAGROS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "3909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.