Marilyn Rodriguez, M.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1693 Issued in PR

Practice address

200 Ave Cupey GDNS
Plaza Cupey Garden, Sector #3
San Juan, PR 00926-7341

Phone

(787) 292-0205

Fax

(787) 292-0205

NPI assigned

Feb 9, 2007

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

Credentials

Master of Science

Practice roles

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.

• Servicios Psicoligicos Raigambre

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1003922865
  NPD (past) Authorized official
• Servicios Psicologicos Raigambre

  • Psychologist
  • San Juan, PR
  • NPI 1245245091
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609917897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 645 BOX 6387",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009769746",
            "telephone_number": "787-292-0205",
            "fax_number": "787-292-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE CUPEY GDNS",
            "address_2": "PLAZA CUPEY GARDEN, SECTOR #3",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267341",
            "telephone_number": "787-292-0205",
            "fax_number": "787-292-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARILYN",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "1713",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "2403",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariangely Rodriguez
• Maribel Noble Rodriguez, MD
• Maricely Rodriguez Rodriguez Sr.
• Mariel Rodriguez
• Mariela Del Carmen Rodriguez, LND, RD
• Martin Rodriguez
• Mary Lena Rodriguez, MSW
• Mayra Rodriguez, CLINICAL NURSE SPEC
• Melisa Rodriguez, M.D
• Melissa Rodriguez

• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.