Marviliz Avila Rodriguez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1435 Issued in PR

Practice address

1007 Ave Munoz Rivera
Edif Darlington Suite 402
San Juan, PR 00925-2718

Phone

(787) 383-4747

NPI assigned

May 29, 2007

Last updated

Apr 19, 2016By 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 1

Addresses

Other names 1

• Prof. Marviliz Avila Rodriguez Professional name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1700087707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31178",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009292178",
            "telephone_number": "787-383-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 AVE MUNOZ RIVERA",
            "address_2": "EDIF DARLINGTON SUITE 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252718",
            "telephone_number": "787-383-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA RODRIGUEZ",
        "first_name": "MARVILIZ",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARVILIZ",
            "last_name": "AVILA RODRIGUEZ",
            "prefix": "PROF.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Avery J Knapp Jr MD, P.C. (PI Care)
• Jace Varo Avetisyan, MD
• Gladys Avezuela
• Yaimirex Avila Guerrero, PHL
• Tania Avila Lasalle, PHARM.D.
• Dyhalma Natacha Avila-Lopez, PHD
• Andres R Avila, MD
• Cesar Antonio Avila, PA
• Lynnette Avila, MD
• Teresita A. Aviles - Rodriguez, 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 Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.