Active NPI
Jose Alejandro Lucca Rodriguez, PHD
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1578713921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3117
- Practice address
- Urb. Perla del Sur
Calle Carlos Cartagena 4009 Suite B
Ponce, PR 00717 - Phone
- (787) 718-2589
- NPI assigned
- Sep 23, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3117 | PR | Primary |
Addresses
Primary practice location
Urb. Perla del Sur
Calle Carlos Cartagena 4009 Suite B
Ponce, PR 00717
Mailing address
Urb Ext Alta Vista Calle 11 XX-1
Ponce, PR 00716
Phone (787) 718-2589
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160519000203 | PR | Practitioner - Clinical Psychologist | 0749579498 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3117 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1578713921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB EXT ALTA VISTA CALLE 11 XX-1",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-718-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. PERLA DEL SUR",
"address_2": "CALLE CARLOS CARTAGENA 4009 SUITE B",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-718-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCCA RODRIGUEZ",
"first_name": "JOSE",
"middle_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.