Active NPI
Victor Enrique Emmanuelli Rodriguez II, PSYD
- Counseling Psychologist
- Trujillo Alto, PR
National Provider Identifier
1669108700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6206
- Practice address
- Monte Atenas Office Park
Suite 205
Trujillo Alto, PR 00926-0000 - Phone
- (787) 310-5843
- NPI assigned
- Jul 30, 2022
- Last updated
- Nov 25, 2024
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6206 | PR | Primary |
Addresses
Primary practice location
Monte Atenas Office Park
Suite 205
Trujillo Alto, PR 00926-0000
Mailing address
Encantada Rio Cristal
RC-30 Calle Via del Rio
Trujillo Alto, PR 00976-0000
Phone (787) 310-5843
Other practice location 1
386 Calle Manuel Domenech
San Juan, PR 00918-3719
Phone (787) 567-0070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039344701 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6206 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Castro Lebron PSC | Clinical | Current | Accepting new patients |
| Alm Psychology | Clinical | Past | Accepting new patients |
| Clinica Psicoalternativas | Past | Accepting new patients |
Locations
166 Ave Barbosa
Catano, PR 00962
Phone (787) 788-4544
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Catano, PR
- NPI 1417442310
-
- Clinical Psychologist
- San Juan, PR
- NPI 1174300552
-
- General Practice Physician
- San Juan, PR
- NPI 1598383960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1669108700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ENCANTADA RIO CRISTAL",
"address_2": "RC-30 CALLE VIA DEL RIO",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009760000",
"telephone_number": "787-310-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MONTE ATENAS OFFICE PARK",
"address_2": "SUITE 205",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009260000",
"telephone_number": "787-310-5843"
}
],
"practiceLocations": [
{
"address_1": "386 Calle Manuel Domenech",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009183719",
"country_code": "US",
"telephone_number": "787-567-0070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMMANUELLI RODRIGUEZ",
"first_name": "VICTOR",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-30",
"last_updated": "2024-11-25",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "6206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039344701",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trujillo Alto, PR
- Dra Anamari Sanchez Health and Wellness Clinic PSC
- Clemencia I Duluc-Perez, MD
- Humberto Duran - Colon
- Dynasty Emergency Medical Service Corp
- Emergency Medical Care Inc.
- Empresas Figueroa-Goytia Y Sonya Goytia
- Empresas Figueroa,Goytia Y Asociados Inc. (Laboratorio Clinico Rural Trujillo Alto)
- Endomedicine LLC
- Ensenarte LLC
- Francisco Marcelo Escoda, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.