Jose Rodriguez, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001823 Issued in PR

Practice address

25 Calle Alamo
Ciudad Jardin
Canovanas, PR 00729-9818

Phone

(787) 725-6500

NPI assigned

Oct 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1902182355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CALLE ALAMO",
            "address_2": "CIUDAD JARDIN",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299818",
            "telephone_number": "787-725-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CALLE ALAMO",
            "address_2": "CIUDAD JARDIN",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299818",
            "telephone_number": "787-725-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "001823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "001823",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH LICENSE",
            "identifier": "001823",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Ivonne Rodriguez Gonzalez, MD
• Noeimee Rodriguez Rivera
• Sandra Raquel Rodriguez Rosario, M.D.
• Alexandra Rodriguez Ruiz, MD
• Hector C. Rodriguez-Phipps, MD
• Maria De Los Angeles Rodriguez, MD
• Yazmin Yadira Roman Perez
• Angelica Maria Roman Rodriguez
• Carlos M Roman, MD
• Victor Manuel Rosa Reyes, OD

• Psychologist in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.