Active NPI
Nivia Isabel Rodriguez Hernandez, PSYD
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1891229134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5865
- Practice address
- 1805 Urb Constancia
Paseo la Colonia Ste. 2
Ponce, PR 00717-0000 - Phone
- (787) 651-3720
- NPI assigned
- Apr 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5865 | PR | Primary |
Addresses
Primary practice location
1805 Urb Constancia
Paseo la Colonia Ste. 2
Ponce, PR 00717-0000
Mailing address
PO Box 800558
Coto Laurel, PR 00780-0558
Phone (787) 385-8020
Other practice location 1
Carretera 14 kilometro 11.4
Barrio Jacaguas
Juana Diaz, PR 00795-0795
Phone (787) 385-8020
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190930001299 | PR | Practitioner - Clinical Psychologist | 9537499892 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1891229134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800558",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "007800558",
"telephone_number": "787-385-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 URB CONSTANCIA",
"address_2": "PASEO LA COLONIA STE. 2",
"city": "PONCE",
"state": "PR",
"postal_code": "007170000",
"telephone_number": "787-651-3720"
}
],
"practiceLocations": [
{
"address_1": "Carretera 14 kilometro 11.4",
"address_2": "Barrio Jacaguas",
"address_purpose": "LOCATION",
"city": "Juana Diaz",
"state": "PR",
"postal_code": "007950795",
"country_code": "US",
"telephone_number": "787-385-8020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ HERNANDEZ",
"first_name": "NIVIA",
"middle_name": "ISABEL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-13",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
- Yaimaryz Rodriguez Gonzalez
- Zaskia Rodriguez Gonzalez
- Lourdes Rodriguez Hernandez
- Luis E Rodriguez Hernandez, M.D.
- Miosolys Ivette Rodriguez Hernandez, MSPS
- Edaris Rodriguez Izquierdo
- Sergio Oscar Rodriguez Lopez
- Adian Naisoj Rodriguez Lorenzo
- Jorge I. Rodriguez Lugo, MD
- Adelina Rodriguez Martinez, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.