Active NPI
Rosa E. Diaz Rodriguez, DR.
- Clinical Psychologist
- Caguas, PR
National Provider Identifier
1417906819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 912
- Practice address
- Calle Aquamarina 20B
Villa Blanca
Caguas, PR 00725-1944 - Phone
- (787) 479-0493
- Fax
- (787) 746-8079
- NPI assigned
- May 10, 2006
- Last updated
- Dec 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 912 | PR | Primary |
Addresses
Primary practice location
Calle Aquamarina 20B
Villa Blanca
Caguas, PR 00725-1944
Mailing address
Calle Aquamarina 20B
Villa Blanca
Caguas, PR 00725-1944
Phone (787) 479-0493
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 912 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1417906819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE AQUAMARINA 20B",
"address_2": "VILLA BLANCA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007251944",
"telephone_number": "787-479-0493",
"fax_number": "787-746-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE AQUAMARINA 20B",
"address_2": "VILLA BLANCA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007251944",
"telephone_number": "787-479-0493",
"fax_number": "787-746-8079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ RODRIGUEZ",
"first_name": "ROSA",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "DR.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.