Yanitza Rodriguez Fernandez, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2438 Issued in PR

Practice address

B6 Calle a S
Urb. Flamboyan
Manati, PR 00674-5419

Phone

(787) 884-0717

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1386609352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741008",
            "telephone_number": "787-884-0717",
            "fax_number": "787-884-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B6 CALLE A S",
            "address_2": "URB. FLAMBOYAN",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745419",
            "telephone_number": "787-884-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ FERNANDEZ",
        "first_name": "YANITZA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHC & MCS",
            "identifier": "553347",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen I Robles
• Glenda L. Rodriguez Aguiar, D.M.D.
• Hector Rodriguez Aguilar
• Yesenia Maria Rodriguez Alvarez, MD
• Luis Francisco Rodriguez Burgos, MD
• Mildred I Rodriguez Fuxench, M.D.
• Javier Enrique Rodriguez Garcia, PSY D
• Johaniris Rodriguez Hernandez, MD
• Keisel Rodriguez Lezcano, MD
• Abner Joel Rodriguez Maisonet

• Clinical Psychologist in Manati, PR
• Providers in Manati, 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 11, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.