Individual provider Active NPI

Yeizalee Vargas Rodriguez, DRA

  • Clinical Psychologist
  • Sabana Grande, PR
National Provider Identifier
1396456760
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7481 Issued in PR
Practice address
Local #4 Edf Yoed
Calle Luis Munoz Rivera #39
Sabana Grande, PR 00637
Phone
(787) 214-3128
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 7481 PR Primary

Addresses

Primary practice location

Local #4 Edf Yoed
Calle Luis Munoz Rivera #39
Sabana Grande, PR 00637

Mailing address

101 Urb la Alborada
Sabana Grande, PR 00637-9998
Phone (787) 214-3128

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230410000396 PR Practitioner - Clinical Psychologist 7214302090 Practice locations: Sabana Grande, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1396456760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 URB LA ALBORADA",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006379998",
            "telephone_number": "787-214-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOCAL #4 EDF YOED",
            "address_2": "CALLE LUIS MUNOZ RIVERA #39",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-214-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS RODRIGUEZ",
        "first_name": "YEIZALEE",
        "credential": "DRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.