Active NPI
Raiza J Rodriguez Rios, PSY D.
- Psychologist
- Coto Laurel, PR
National Provider Identifier
1306059183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2805
- Practice address
- Plaza San Cristobal
Segundo Piso
Coto Laurel, PR 00780 - Phone
- (787) 318-8359
- Fax
- (787) 842-4071
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2805 | PR | Primary |
Addresses
Primary practice location
Plaza San Cristobal
Segundo Piso
Coto Laurel, PR 00780
Mailing address
86103 Calle Monte Llano
Urb. Monte Claro
Guayanilla, PR 00656
Phone (787) 310-5661
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151016001749 | PR | Practitioner - Clinical Psychologist | 9133438906 | Practice locations: Coto Laurel, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2805 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1306059183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86103 CALLE MONTE LLANO",
"address_2": "URB. MONTE CLARO",
"city": "GUAYANILLA",
"state": "PR",
"postal_code": "00656",
"telephone_number": "787-310-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA SAN CRISTOBAL",
"address_2": "SEGUNDO PISO",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "00780",
"telephone_number": "787-318-8359",
"fax_number": "787-842-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ RIOS",
"first_name": "RAIZA",
"middle_name": "J",
"credential": "PSY D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "2805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coto Laurel, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.