Diana Maria Rodriguez, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4187 Issued in PR

Practice address

Edificio a Porrata Pila Suite 205
2431 Blvd Luis a Ferre
Ponce, PR 00717-2113

Phone

(787) 848-5050

Fax

(787) 848-5175

NPI assigned

Apr 2, 2012

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1710243944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CALLE GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MEDICAL PLAZA SUITE 012",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255527",
            "telephone_number": "787-961-3600",
            "fax_number": "787-961-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO A PORRATA PILA SUITE 205",
            "address_2": "2431 BLVD LUIS A FERRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172113",
            "telephone_number": "787-848-5050",
            "fax_number": "787-848-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DIANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benny Rodriguez, PSY.D.
• Daignesse Rodriguez
• Daniel Armando Rodriguez
• Darien Gizela Rodriguez, SLP
• Delma Rodriguez, BS MT
• Eddie Gabriel Rodriguez, M.D.
• Edgar Luis Rodriguez
• Elaine Aixa Rodriguez, MPT
• Enrique Rodriguez, M.D.
• Etervina Rodriguez

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, 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 May 12, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.