Sofia Rodriguez Colon

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6126 Issued in PR

Practice address

Carr. 110 KM 22.5 Bo Ceiba Baja
Aguadilla, PR 00603

Phone

(787) 413-7548

NPI assigned

Jun 25, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

• Sofia Rodriguez Colon Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2023.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1710183082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 8 BOX 45176",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039755",
            "telephone_number": "939-438-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 110 KM 22.5 BO CEIBA BAJA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-413-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ COLON",
        "first_name": "SOFIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6126",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOFIA",
            "last_name": "RODRIGUEZ COLON",
            "credential": "DRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marta Ivette Riviere, BCBA
• RMG Management Limited Liability Company
• RMG Management Limited Liability Company
• RMG Managment LLC
• Diana Evelyn Rodon Hernandez, MD
• Yamil Rodriguez Colon, M.D.
• Wandaliz Rodriguez Guzman, MD
• Dioanise Rodriguez Jimenez, SLP
• Francisco Alberto Rodriguez Michel, M.D.
• Shaysmarie Lee Rodriguez Nieves

• All providers in Aguadilla, PR
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.