Active NPI
Carlos Rafael Rodriguez, MA
- Counseling Psychologist
- San Juan, PR
National Provider Identifier
1780188854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 5868
- Practice address
- 1436 Ave Paz Granela
San Juan, PR 00921-4129 - Phone
- (787) 428-3062
- NPI assigned
- Mar 22, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 5868 | PR | Primary |
Addresses
Primary practice location
1436 Ave Paz Granela
San Juan, PR 00921-4129
Mailing address
B17 Calle 2
Urb Country Estates
Bayamon, PR 00956
Phone (787) 349-1730
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1780188854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B17 CALLE 2",
"address_2": "URB COUNTRY ESTATES",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-349-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 AVE PAZ GRANELA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009214129",
"telephone_number": "787-428-3062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "CARLOS",
"middle_name": "RAFAEL",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-22",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "5868",
"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 Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.