Individual provider Active NPI

Pedro Javier Nunez Rosario, MRC, LRC, LPC,CAT-IV

  • Professional Counselor
  • Jayuya, PR
National Provider Identifier
1639635808
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4740 Issued in PR
Practice address
Carr 144 KM 0HM 7
Bo Caricaboa
Jayuya, PR 00664
Phone
(787) 329-7255
NPI assigned
Feb 13, 2019
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X PR
Professional Counselor 101YP2500X 4740 PR Primary
Rehabilitation Counselor 225C00000X 1625 PR

Addresses

Primary practice location

Carr 144 KM 0HM 7
Bo Caricaboa
Jayuya, PR 00664

Mailing address

PO Box 664
Jayuya, PR 00664-0664
Phone (787) 329-7255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1003
Castaner, PR 00631

PO Box
Suite 1003
Castaner, PR 00631-1003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4740PRMDProfessional Counselor
1625PRMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1639635808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "006640664",
            "telephone_number": "787-329-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 144 KM 0HM 7",
            "address_2": "BO CARICABOA",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "00664",
            "telephone_number": "787-329-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ ROSARIO",
        "first_name": "PEDRO",
        "middle_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "MRC, LRC, LPC,CAT-IV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-13",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "4740",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "PR",
            "license": "1625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jayuya, PR

Sources for this page

Verify at the official NPI Registry.