Nancy Rodriguez Otero, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2803 Issued in PR

Practice address

26 Calle Fernandez Garcia
Suite 18 Luquillo Plaza
Luquillo, PR 00773-2236

Phone

(787) 604-5676

NPI assigned

Mar 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1801038328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AVE LUIS MUNOZ MARIN PMB 731",
            "address_2": "URB VILLA BLANCA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251956",
            "telephone_number": "787-604-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE FERNANDEZ GARCIA",
            "address_2": "SUITE 18 LUQUILLO PLAZA",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007732236",
            "telephone_number": "787-604-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ OTERO",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2024-06-05",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Selenia Rivera-Santiago
• Angelica Maria Rivera
• Cynthia Odaly Robles Perez
• Sol A Robles, MD
• Gabriela Isabel Rodriguez Leduc
• Alexis Rodriguez Rivera, MD
• Tania Rodriguez, MS, SLP
• Ana Marie Roman, EDD, MSW
• Jodys L Salgado Cintron, M.D.
• Josely Haydee Sanchez, CPL

• Clinical Psychologist in Luquillo, PR
• Providers in Luquillo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.