Active NPI
Mildred Susana Rodriguez, BSPT / MPHE
- Counselor
- San Juan, PR
National Provider Identifier
1972698843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 280
- Practice address
- RR #3 Box 3962
San Juan, PR 00926-9614 - Phone
- (787) 450-8811
- Fax
- (787) 720-7691
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 280 | PR | Primary |
Addresses
Primary practice location
RR #3 Box 3962
San Juan, PR 00926-9614
Mailing address
47TH St SW #869 Las Lomas
San Juan, PR 00920
Phone (787) 450-8811
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280 | PR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972698843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47TH ST SW #869 LAS LOMAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-450-8811",
"fax_number": "787-720-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR #3 BOX 3962",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009269614",
"telephone_number": "787-450-8811",
"fax_number": "787-720-7691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MILDRED",
"middle_name": "SUSANA",
"credential": "BSPT / MPHE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PR",
"license": "280",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.