Daisy Pellot-Rodriguez, PSY D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1925 Issued in PR

Practice address

Carr. 111 KM.0.7
Bo. Palmar
Aguadilla, PR 00603

Phone

(787) 819-1111

Fax

(787) 819-1111

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centro de Servicios Psicologicos Puentes

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aguadilla, PR
  • NPI 1508115163
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1699878090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4512",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054512",
            "telephone_number": "787-819-1111",
            "fax_number": "787-819-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 111 KM.0.7",
            "address_2": "BO. PALMAR",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-819-1111",
            "fax_number": "787-819-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLOT-RODRIGUEZ",
        "first_name": "DAISY",
        "name_prefix": "Dr.",
        "credential": "PSY D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilmayri Pagan Lopez
• Carmen Pagan
• Liza Mariel Paulo Malave, MD
• Carlos Ronald Pedraza Gonzalez, MD
• Maheliz Pellot-Fuentes
• Carelys Pena, M.A.
• Pequenos Pasos LLC
• Eduardo Jose Perez Caban, M.D.
• Joel Eduardo Perez Caban
• Kritzia Meraris Perez Caban

• Clinical Psychologist in Aguadilla, PR
• Providers in Aguadilla, 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 Feb 13, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.