Stephanie M Rosa Rivera

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

A3 Ave Miguel Melendez Munoz
Cayey, PR 00736-4619

Phone

(787) 602-6624

NPI assigned

Aug 12, 2024

Last updated

Apr 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Ic Nutrition LLC

  • Registered Dietitian
  • Cayey, PR
  • NPI 1013727353
  NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1902637937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E18 CALLE 5",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364513",
            "telephone_number": "787-599-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A3 AVE MIGUEL MELENDEZ MUNOZ",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364619",
            "telephone_number": "787-602-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA RIVERA",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "8035",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin E Roldan Auffant, MD
• Dianabel Rolon Rivera
• Jeannette Rolon
• Marlyne Roque Diaz
• Felix R Roque Velazquez, MD
• Alexis Javier Rosa Santiago
• Jeanaira Rosado, PHARM D.
• Lorna M Rosado, MSW
• Marlyn Rosado
• Carmen H Rosario Morales

• Counseling Psychologist in Cayey, PR
• Providers in Cayey, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.