Active NPI
Jonathan Mendez Rodriguez
- Psychologist
- Hatillo, PR
National Provider Identifier
1528626181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5948
- Practice address
- Carr 129 KM 15.1 Bo Bayaney
Hatillo, PR 00659 - Phone
- (787) 566-5447
- NPI assigned
- May 30, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5948 | PR | Primary |
Addresses
Primary practice location
Carr 129 KM 15.1 Bo Bayaney
Hatillo, PR 00659
Mailing address
HC01 Box 8331
Hatillo, PR 00659
Phone (787) 566-5447
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5948 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1528626181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC01 BOX 8331",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-566-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 129 KM 15.1 BO BAYANEY",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-566-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ RODRIGUEZ",
"first_name": "JONATHAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.