Individual provider Active NPI

Kenneth Lopez Rodriguez, MS

  • Family Psychologist
  • Vega Baja, PR
National Provider Identifier
1861209173
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
6502 Issued in PR
Practice address
Bo Carmelita
Buzon 12 Calle 9
Vega Baja, PR 00693-3714
Phone
(787) 224-1736
NPI assigned
Dec 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 6502 PR Primary

Addresses

Primary practice location

Bo Carmelita
Buzon 12 Calle 9
Vega Baja, PR 00693-3714

Mailing address

Bo Carmelita
Buzon 12 Calle 9
Vega Baja, PR 00693-3714
Phone (787) 224-1736

Other names 1

  • Kenneth Lopez Rodriguez Professional name

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 Science

State licenses

LicenseStateTypeSpecialty
6502PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1861209173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO CARMELITA",
            "address_2": "BUZON 12 CALLE 9",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933714",
            "telephone_number": "787-224-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO CARMELITA",
            "address_2": "BUZON 12 CALLE 9",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933714",
            "telephone_number": "787-224-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RODRIGUEZ",
        "first_name": "KENNETH",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PR",
            "license": "6502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "LOPEZ RODRIGUEZ",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; 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.