Active NPI
Marilyn Rodriguez Gonzalez
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1497296107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5863
- Practice address
- 1607 Ave Ponce de Leon
Cobian'S Plaza Building Suite 305
San Juan, PR 00940 - Phone
- (787) 201-1971
- NPI assigned
- Mar 14, 2017
- 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 | 5863 | PR | Primary |
Addresses
Primary practice location
1607 Ave Ponce de Leon
Cobian'S Plaza Building Suite 305
San Juan, PR 00940
Mailing address
HJ12 Calle 271
Urb Country Club
Carolina, PR 00982
Phone (787) 508-6164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
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": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1497296107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HJ12 CALLE 271",
"address_2": "URB COUNTRY CLUB",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00982",
"telephone_number": "787-508-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 AVE PONCE DE LEON",
"address_2": "COBIAN'S PLAZA BUILDING SUITE 305",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00940",
"telephone_number": "787-201-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ GONZALEZ",
"first_name": "MARILYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Pedro Luis Rodriguez Flores, PHARMD
- Victor Emmanuel Rodriguez Franceschi, MD
- Gian Carlos Rodriguez Franco
- Marta Maria Rodriguez Garcia, M.D.
- Edgar A Rodriguez Gonzalez, M.D
- Valeria Rodriguez Gonzalez
- Nicole Mariel Rodriguez Guilloty, MD, FACS
- Ricardo Mario Rodriguez Guzman
- Jatmarie Rodriguez Hance, PSYD
- Aida Maria Rodriguez Hernandez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.