Johana M. Estrada Rodriguez, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6209 Issued in PR

Practice address

Calle Rvdo. Domingo Marrero Navarro
Edificio #5, 3ER Piso
San Juan, PR 00925

Phone

(787) 688-6031

NPI assigned

Jul 11, 2018

Last updated

Jun 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1528554755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VALLE ARRIBA HEIGHTS",
            "address_2": "O16 CALLE EUCALIPTO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-688-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE RVDO. DOMINGO MARRERO NAVARRO",
            "address_2": "EDIFICIO #5, 3ER PISO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-688-6031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33-8 Ave Roberto Clemente",
            "address_2": "Villa Carolina",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00986",
            "country_code": "US",
            "telephone_number": "787-688-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA RODRIGUEZ",
        "first_name": "JOHANA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE PSYCHOLOGIST",
            "identifier": "6209",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LG427",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Blanca Esquilin
• Roselyn Esquilin, RN,BSN
• Caleb Esteban Reyes, PH.D.
• Zoraida E Estela Jove
• Maria Fernanda Estevez-Delgado
• Vanessa Estrada Rodriguez, PHARMD
• Alexandra Estrada Rosa, RD
• Ana G Estrada, PHARMD
• Iris J Estrada, RPH
• Myrma Luz Estrella, PHARMACIST LIC 1538

• 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 Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.