Individual provider Active NPI

Iris Teany De Oleo Rodriguez, PSYD

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1538880786
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7150 Issued in PR
Practice address
1000 Carr 788 Apt 129
Caguas, PR 00725-8805
Phone
(787) 526-4288
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7150 PR Primary

Addresses

Primary practice location

1000 Carr 788 Apt 129
Caguas, PR 00725-8805

Mailing address

1000 Carr 788 Apt 129
Caguas, PR 00725-8805
Phone (787) 526-4288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221128002127 PR Practitioner - Clinical Psychologist 4688042658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HPM Foundation Inc Current Accepting new patients
HPM Foundation Inc PastSince Sep 1, 2022 Accepting new patients
HPM Foundation Inc Past Accepting new patients
HPM Foundation Inc PastSince Dec 1, 2019 Accepting new patients

Locations

2020 Ave Borinquen
Santurce, PR 00915

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1538880786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CARR 788 APT 129",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007258805",
            "telephone_number": "787-526-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARR 788 APT 129",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007258805",
            "telephone_number": "787-526-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE OLEO RODRIGUEZ",
        "first_name": "IRIS",
        "middle_name": "TEANY",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.