Individual provider Active NPI

Jomar Rodriguez Agosto, PSY.D.

  • Clinical Psychologist
  • Humacao, PR
National Provider Identifier
1295640506
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9241 Issued in PR
Practice address
Urb. Antonio Roig
Humacao, PR 00791-3359
Phone
(787) 590-9148
NPI assigned
Aug 19, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 9241 PR Primary

Addresses

Primary practice location

Urb. Antonio Roig
Humacao, PR 00791-3359

Mailing address

Urb. El Recreo
A7 Calle Juan Santos Quinones
Humacao, PR 00791-3359
Phone (787) 590-9148

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

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1295640506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. EL RECREO",
            "address_2": "A7 CALLE JUAN SANTOS QUINONES",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913359",
            "telephone_number": "787-590-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. ANTONIO ROIG",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913359",
            "telephone_number": "787-590-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ AGOSTO",
        "first_name": "JOMAR",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "9241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.