Individual provider Active NPI

Juan J. Guerra Rodriguez Sr.

  • Clinical Psychologist
  • San Sebastian, PR
National Provider Identifier
1336038637
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8415 Issued in PR
Practice address
HC 6 Box 12811
San Sebastian, PR 00685-9844
Phone
(787) 452-1456
NPI assigned
Jul 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 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 8415 PR Primary

Addresses

Primary practice location

HC 6 Box 12811
San Sebastian, PR 00685-9844

Mailing address

HC 6 Box 12811
San Sebastian, PR 00685-9844
Phone (787) 452-1456

Other practice location 1

4160 Ave Arcadio Estrada Ste 209
San Sebastian, PR 00685-3211
Phone (787) 908-0908

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

State licenses

LicenseStateTypeSpecialty
8415PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shapes PR LLC PastSince Feb 16, 2020 Accepting new patients
Shapes, Inc PastSince Oct 1, 2018 Accepting new patients

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1336038637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 12811",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859844",
            "telephone_number": "787-452-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 12811",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859844",
            "telephone_number": "787-452-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Ave Arcadio Estrada Ste 209",
            "address_purpose": "LOCATION",
            "city": "San Sebastian",
            "state": "PR",
            "postal_code": "006853211",
            "country_code": "US",
            "telephone_number": "787-908-0908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-01",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.