Lourdes Marie Rodriguez, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2360 Issued in PR

Practice address

1666 Calle Parana
San Juan, PR 00926-3145

Phone

(787) 765-7063

Fax

(787) 765-7063

NPI assigned

Mar 27, 2006

Last updated

Feb 7, 2012By 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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Health Support Services, Inc

  • Clinic/Center
  • Carolina, PR
  • NPI 1902818669
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1871553354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70250",
            "address_2": "PMB 236",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368250",
            "telephone_number": "787-765-7063",
            "fax_number": "787-765-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 CALLE PARANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263145",
            "telephone_number": "787-765-7063",
            "fax_number": "787-765-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LOURDES",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHC HEALTH SYSTEMS",
            "identifier": "555145",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "2900",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "A547",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S, INC.",
            "identifier": "56792 RO",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Rodriguez
• Lilliam Airin Rodriguez
• Lilliam Isabel Rodriguez, LND
• Lino Rodriguez, MD
• Lorna Aimee Rodriguez, D.M.D.
• Luis Rodriguez Sr.
• Luis A Rodriguez, M.D.
• Luis R. Rodriguez, M.D.
• Luisa E Rodriguez, MS
• Magaly Rodriguez, MA

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Feb 7, 2012; 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.