Tatiana M De Leon-Rodriguez, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

005788 Issued in PR

Practice address

C5 Calle 2
Villas del Pilar
San Juan, PR 00926

Phone

(787) 644-4120

NPI assigned

Mar 10, 2017

Last updated

Mar 10, 2017By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delta Wellness Services

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1275389637
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1457892440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C5 CALLE 2",
            "address_2": "VILLAS DEL PILAR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-644-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C5 CALLE 2",
            "address_2": "VILLAS DEL PILAR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-644-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON-RODRIGUEZ",
        "first_name": "TATIANA",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "005788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Leonardo De Leon Reyes
• Alexandra De Leon Segarra, PHYSICIAN ASSISTANT
• Andrea Michelle De Leon Tejeda
• Nicolle Franchesca De Leon Tellado, M.D.
• Ramon Antonio De Leon-Berras, M.D.
• Norma Iris De Leon-Tellado, D.M.D.
• Gladys Yamira De Leon, PH.D
• Maridolores De Leon, M.D.
• Nanette Michelle De Leon, M.D.
• Sylvette De Leon, M.D.

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Mar 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.