Individual provider Active NPI

Brenda I Mora Rodriguez, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Cayey, PR
National Provider Identifier
1316148067
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
14891 Issued in PR
Practice address
101 Sur Calle Corchado
Esquina Nunez Romeu
Cayey, PR 00736
Phone
(787) 738-7455
Fax
(787) 535-7505
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 14891 PR
Addiction Medicine (Internal Medicine) Physician 207RA0401X 14891 PR Primary
General Practice Physician 208D00000X 14891 PR

Addresses

Primary practice location

101 Sur Calle Corchado
Esquina Nunez Romeu
Cayey, PR 00736

Mailing address

PO Box 4960
PMB 413
Caguas, PR 00726
Phone (787) 738-7455

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031104000419 PR Practitioner - General Practice 1355253774 Reassigns benefits to 1 organization
Practice locations: Cayey, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14891PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapeutic Health System, PSC CurrentSince Nov 16, 2023 Accepting new patients
Psychotherapeutic Health System, PSC PastSince Nov 16, 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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1316148067",
    "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": "00726",
            "telephone_number": "787-738-7455",
            "fax_number": "787-535-7505"
        },
        {
            "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": "00736",
            "telephone_number": "787-738-7455",
            "fax_number": "787-535-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA RODRIGUEZ",
        "first_name": "BRENDA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PR",
            "license": "14891",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "PR",
            "license": "14891",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.