Individual provider Active NPI

Rosa M Cepeda

  • Addiction (Substance Use Disorder) Psychologist
  • San Juan, PR
National Provider Identifier
1740767839
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
51643 Issued in CA
Practice address
988 Ave Munoz Rivera
San Juan, PR 00927
Phone
(787) 773-1861
NPI assigned
Jul 23, 2018
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 51643 CA Primary

Addresses

Primary practice location

988 Ave Munoz Rivera
San Juan, PR 00927

Mailing address

988 Ave Munoz Rivera
San Juan, PR 00927-4309
Phone (787) 773-1861

Other practice location 1

9 Calle Del Carmen
second floor
Fajardo, PR 00738-4718
Phone (787) 801-0217

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1740767839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 AVE MUNOZ RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274309",
            "telephone_number": "787-773-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 AVE MUNOZ RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-773-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Calle Del Carmen",
            "address_2": "second floor",
            "address_purpose": "LOCATION",
            "city": "Fajardo",
            "state": "PR",
            "postal_code": "007384718",
            "country_code": "US",
            "telephone_number": "787-801-0217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEPEDA",
        "first_name": "ROSA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "51643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.