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

Last updated

Feb 15, 2023By 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 2

Addresses

Other names 1

• Sofia Rodriguez Colon Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "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

• 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 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.