Karen Rodriguez-Vera, DR.
Individual provider Active NPI Counseling Psychologist · Adjuntas, PR
NPI 1508908252 · NPPES record last updated Nov 4, 2014
Key facts
- NPI
- 1508908252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 1731 (PR)
- Practice address
- 1 Calle Salvador Lugo
Ste 1
Adjuntas, PR 00601-2200 - Phone
- (787) 210-4579
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160512001702 | PR | Practitioner - Psychologist Billing Independently | 1456640564 | Practice locations: Adjuntas, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1731 | PR | MD | Counseling Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1731 | PR | Yes |
Addresses
Primary practice location
1 Calle Salvador Lugo
Ste 1
Adjuntas, PR 00601-2200
Mailing address
Calle Agustin Daviu #4209
Urb. Perla del Sur
Ponce, PR 00717-0322
Phone (787) 210-4579
Other providers in Adjuntas, PR
- Rigoberto Ramos Gonzalez
- Paola Mayerlie Rios Jimenez
- Jessica Rios Santiago
- Javier Armando Rivera Ortiz
- Nilda Rivera
- Angel L. Rodriguez
- Anibal Rodriguez
- Jannette Rodriguez
- Joan Ivelisse Rosado Vargas
- Jorge G Ruiz Coimbre
All providers in Adjuntas, PR · Counseling Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.