Ivelisse Rodriguez

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

536 Issued in PR

Practice address

Ad19 Calle 29
Trujillo Alto, PR 00976-3408

Phone

(787) 565-5808

NPI assigned

Mar 15, 2018

Last updated

Mar 15, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Instituto Psicopedagogico de PR

  • Adult Mental Health Clinic/Center
  • Bayamon, PR
  • NPI 1700354875
  NPD (past)

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1811490873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AD19 CALLE 29",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763408",
            "telephone_number": "787-246-0055",
            "fax_number": "787-792-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AD19 CALLE 29",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763408",
            "telephone_number": "787-565-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "IVELISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Rodriguez Ortiz
• Natalia Rodriguez Reyes
• Getseni Rodriguez
• Giselle Annette Rodriguez, MSPT
• Grace D Rodriguez, PSYD
• Jean D Rodriguez, M.S.
• Juan Rodriguez, RPH
• Kaithlyn Nicole Rodriguez, RDN
• Lillian Rodriguez, LND, M.ED.
• Michelle Rodriguez, PSYD

• Occupational Therapist in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Occupational Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.