Active NPI
Grisell Rodriguez Reyes, M.S.
- Psychologist
- San Juan, PR
National Provider Identifier
1902174030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1517
- Practice address
- 1790 Calle Julio Aybar
San Juan, PR 00921-4410 - Phone
- (787) 448-5011
- NPI assigned
- Dec 4, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1517 | PR | Primary |
Addresses
Primary practice location
1790 Calle Julio Aybar
San Juan, PR 00921-4410
Mailing address
157 Calle Washintonia
Bayamon, PR 00956-9258
Phone (787) 448-5011
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1517 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322956800000",
"number": "1902174030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 CALLE WASHINTONIA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009569258",
"telephone_number": "787-448-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 CALLE JULIO AYBAR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009214410",
"telephone_number": "787-448-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "GRISELL",
"middle_name": "RODRIGUEZ",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-04",
"last_updated": "2011-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.