Jose Fernandez Rodriguez
Individual provider Active NPI Counseling Psychologist · Las Piedras, PR
NPI 1306387873 · NPPES record last updated Mar 16, 2017
Key facts
- NPI
- 1306387873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 5795 (PR)
- Practice address
- HC 1 Box 60021
Las Piedras, PR 00771-9891 - Phone
- (939) 246-2144
- NPI assigned
- Mar 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5795 | PR | MD | Counseling Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 5795 | PR | Yes |
Addresses
Primary practice location
HC 1 Box 60021
Las Piedras, PR 00771-9891
Mailing address
HC 1 Box 60021
Las Piedras, PR 00771-9891
Phone (939) 246-2144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5795 | Other | PR | STATE LICENCE |
Other providers in Las Piedras, PR
- Farmacia Ana, Inc.
- Farmacia del Pueblo Veh, Inc
- Farmacia El Rio
- Farmacia Las Campinas, LLC
- Dylia E Fazal
- Salvador Fernandez Sissa
- Sixdali Fernandez-Santa
- Yvellisse Zayas Fernandez
- Anitza Figueroa Nieves
- Kelvin Figueroa Olmeda Sr.
All providers in Las Piedras, PR · Counseling Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.