Individual provider Active NPI

Maria Del Pilar Rosa, PSYD

  • Clinical Psychologist
  • Las Piedras, PR
National Provider Identifier
1740468537
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3952 Issued in PR
Practice address
Bo. Arenas Carretera 198 KM 21.7
Las Piedras, PR 00771
Phone
(787) 423-3002
NPI assigned
Feb 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3952 PR Primary

Addresses

Primary practice location

Bo. Arenas Carretera 198 KM 21.7
Las Piedras, PR 00771

Mailing address

Urb. Paseo de Los Artesanos
#151 Calle Alejndro Lozada
Las Piedras, PR 00771-9741
Phone (787) 423-3002

Other practice location 1

Calle Jose Barbosa
56
Las Piedras, PR 00771
Phone (787) 676-8879

Other identifiers 1

IdentifierTypeStateIssuer
EV778AMedicaidPR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110504000175 PR Practitioner - Clinical Psychologist 6103001300 Reassigns benefits to 1 organization
Practice locations: Las Piedras, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3952PRMDPharmacist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1740468537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. PASEO DE LOS ARTESANOS",
            "address_2": "#151 CALLE ALEJNDRO LOZADA",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719741",
            "telephone_number": "787-423-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. ARENAS CARRETERA 198 KM 21.7",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-423-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Jose Barbosa",
            "address_2": "56",
            "address_purpose": "LOCATION",
            "city": "Las Piedras",
            "state": "PR",
            "postal_code": "00771",
            "country_code": "US",
            "telephone_number": "787-676-8879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSA",
        "first_name": "MARIA",
        "middle_name": "DEL PILAR",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2022-09-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EV778A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

Verify at the official NPI Registry.