Individual provider Active NPI

Miguel Loiz Neris-Rodriguez, PHD

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1821864323
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5962 Issued in PR
Practice address
Urbg. Turabo Gardens PP10 Calle 16
Caguas, PR 00727-6073
Phone
(787) 436-2242
NPI assigned
Nov 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 5962 PR Primary

Addresses

Primary practice location

Urbg. Turabo Gardens PP10 Calle 16
Caguas, PR 00727-6073

Mailing address

PO Box 7233
Caguas, PR 00726-7233
Phone (787) 436-2242

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5962PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindspace Psychological Center LLC Clinical CurrentSince Dec 3, 2023 Accepting new patients

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821864323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7233",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007267233",
            "telephone_number": "787-436-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBG. TURABO GARDENS PP10 CALLE 16",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007276073",
            "telephone_number": "787-436-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERIS-RODRIGUEZ",
        "first_name": "MIGUEL",
        "middle_name": "LOIZ",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.