Active NPI
Nelson Johan Rodriguez
- Psychologist
- Ponce, PR
National Provider Identifier
1730009424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- Sala Ponce, 388 Calle Luis F
Ponce, PR 00716 - Phone
- (787) 840-2575
- NPI assigned
- Jul 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
Sala Ponce, 388 Calle Luis F
Ponce, PR 00716
Mailing address
Sala Ponce, 388 Calle Luis F
Ponce, PR 00716
Phone (787) 840-2575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1730009424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SALA PONCE, 388 CALLE LUIS F",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-840-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SALA PONCE, 388 CALLE LUIS F",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-840-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "NELSON",
"middle_name": "JOHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.