Jose Manuel Rodriguez, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4829 Issued in PR

Practice address

4641 Cason Cove Dr
Unit # 2112
Orlando, FL 32811-7429

Phone

(787) 420-4084

NPI assigned

Feb 6, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1386983641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 CASON COVE DR",
            "address_2": "UNIT # 2112",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117429",
            "telephone_number": "787-420-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 CASON COVE DR",
            "address_2": "UNIT # 2112",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117429",
            "telephone_number": "787-420-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4829",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9340346",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "19641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Rodriguez, MD
• Jayson Rodriguez, PHARMD
• Jeanette Rodriguez
• Jenny M Rodriguez, RN, LMT
• Jhonathan Rodriguez
• Kassandra Rodriguez
• Katelyn Chastity Rodriguez
• Kathryn Rodriguez
• Kenia Rodriguez, PSYD
• Keren Esther Rodriguez

• Clinical Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.