Marie Rodriguez-Bertran, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3032 Issued in PR

Practice address

1666 Ave Parana Local 202
Urb. El Cerezal
San Juan, PR 00926-0092

Phone

(787) 557-9546

NPI assigned

Feb 8, 2008

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1619155975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZAS DE TORRIMAR 1 5109",
            "address_2": "110 AVE LOS FILTROS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-557-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 AVE PARANA LOCAL 202",
            "address_2": "URB. EL CEREZAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260092",
            "telephone_number": "787-557-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-BERTRAN",
        "first_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Rodriguez-Acevedo, PHD
• Liza Rodriguez-Acevedo, MS-SLP
• Anibal I. Rodriguez-Alicea, PHD
• Lyann Lynnette Rodriguez-Alvarez, PHARMD
• Frances Rodriguez-Berrios
• Yvonne M Rodriguez-Blasini
• Jennifer Rodriguez-Bosque, MSNW, RD, LND, CPT
• Anibal Rodriguez-Caban, DMD
• Marimie Rodriguez-Campos, M.D.
• Isabel Ivonne Rodriguez-Candelario, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.

Verify at the official NPI Registry.