Active NPI
Idalisabel Rodriguez Gines, PSY.D
- Psychologist
- Carolina, PR
National Provider Identifier
1730467598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3942
- Practice address
- Avenida Campo Rico Esq. Calle Num. 7
Calle 8 Bloque 4 Num.1 Sabana Gardens
Carolina, PR 00983 - Phone
- (787) 762-4646
- NPI assigned
- Jul 28, 2011
- Last updated
- Jul 28, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 3942 | PR | Primary |
Addresses
Primary practice location
Avenida Campo Rico Esq. Calle Num. 7
Calle 8 Bloque 4 Num.1 Sabana Gardens
Carolina, PR 00983
Mailing address
Urb. Villa Carolina
439 St. Bloq. 173-6
Carolina, PR 00985
Phone (787) 378-7670
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3942 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311811200000",
"number": "1730467598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. VILLA CAROLINA",
"address_2": "439 ST. BLOQ. 173-6",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-378-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA CAMPO RICO ESQ. CALLE NUM. 7",
"address_2": "CALLE 8 BLOQUE 4 NUM.1 SABANA GARDENS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-762-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ GINES",
"first_name": "IDALISABEL",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-28",
"last_updated": "2011-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "3942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
- Carla Nicole Rodriguez Cortes, MA
- Miguel Rodriguez Cruz, M.D.
- Ileana C Rodriguez Delgado, MD
- Ricardo Luis Rodriguez Delgado, M.D.
- Soriann Michelle Rodriguez Diaz, MD
- Jose A Rodriguez Gonzalez, DC
- Zuleika Rodriguez Hernandez
- Norma Iris Rodriguez Maisonet, OD
- Luis Miguel Rodriguez Maldonado, MD
- Esteban I Rodriguez Martino, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.