Individual provider Active NPI

Hector Ruben Alicea Rodriguez, PSY.M.A.

  • Clinical Child & Adolescent Psychologist
  • Guaynabo, PR
National Provider Identifier
1528575008
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
299 Issued in PR
Practice address
B2 Calle Bolivia
Guaynabo, PR 00969-3464
Phone
(787) 462-5032
NPI assigned
Jan 5, 2018
Last updated
Jan 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 299 PR Primary

Addresses

Primary practice location

B2 Calle Bolivia
Guaynabo, PR 00969-3464

Mailing address

B2 Calle Bolivia
Guaynabo, PR 00969-3464
Phone (787) 462-5032

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1528575008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B2 CALLE BOLIVIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693464",
            "telephone_number": "787-462-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B2 CALLE BOLIVIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693464",
            "telephone_number": "787-462-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA RODRIGUEZ",
        "first_name": "HECTOR",
        "middle_name": "RUBEN",
        "credential": "PSY.M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.