Active NPI
Ilia F Zenon Rodriguez, MA
- School Psychologist
- Carolina, PR
National Provider Identifier
1740465350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2095
- Practice address
- Cond Paseo de Monte Flores
Apt. 904
Carolina, PR 00987-7054 - Phone
- (787) 399-9774
- NPI assigned
- Jan 2, 2008
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2095 | PR | Primary |
Addresses
Primary practice location
Cond Paseo de Monte Flores
Apt. 904
Carolina, PR 00987-7054
Mailing address
Cond Paseo de Monte Flores
Apt. 904
Carolina, PR 00987-7054
Phone (787) 399-9774
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2095 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199232000000",
"number": "1740465350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND PASEO DE MONTE FLORES",
"address_2": "APT. 904",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009877054",
"telephone_number": "787-399-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND PASEO DE MONTE FLORES",
"address_2": "APT. 904",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009877054",
"telephone_number": "787-399-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENON RODRIGUEZ",
"first_name": "ILIA",
"middle_name": "F",
"name_prefix": "Miss",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "2095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.