Isairy Rodriguez Roman, PSYD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7254 Issued in PR

Practice address

388 Zona Ind Reparada 2
Ponce, PR 00716-2347

Phone

(787) 812-2525

NPI assigned

Dec 3, 2021

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tiber Health, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Dentist
  • Ponce, PR
  • NPI 1013734821
  NPD
• Ponce Health Sciences University

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1639601651
  NPD (past)

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1326706607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7004",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-840-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 ZONA IND REPARADA 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162347",
            "telephone_number": "787-812-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ ROMAN",
        "first_name": "ISAIRY",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "psm.edu/wellness-center/",
            "affiliation": "N",
            "address_1": "388 Zona Ind Reparada 2",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007162347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alissa Marie Rodriguez Rodriguez
• Jesus W Rodriguez Rodriguez, M.D.
• Mariella Rodriguez Rodriguez
• Olga D Rodriguez Rodriguez, M.D.
• Andrea S Rodriguez Rolon, DMD
• Michaell O Rodriguez Rosa
• Daniel Eduardo Rodriguez Rossello, MD
• Carlos Manuel Rodriguez Roth, P.A.
• Marileana Rodriguez Ruiz
• Eduardo Rodriguez Santiago, 1562B

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.