Individual provider Active NPI

Laura Paola Rodriguez Valedon, PSYD

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1982411732
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8274 Issued in PR
Practice address
1050 Ave. Las Palmas Local4
Condominio Puerta de la Bahia
San Juan, PR 00907-0071
Phone
(939) 282-8222
NPI assigned
Dec 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8274 PR Primary

Addresses

Primary practice location

1050 Ave. Las Palmas Local4
Condominio Puerta de la Bahia
San Juan, PR 00907-0071

Mailing address

Las Delicias #1542
Calle Stgo. Oppenheimer
Ponce, PR 00728
Phone (939) 282-8222

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

LicenseStateTypeSpecialty
8274PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1982411732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAS DELICIAS #1542",
            "address_2": "CALLE STGO. OPPENHEIMER",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "939-282-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 AVE. LAS PALMAS LOCAL4",
            "address_2": "CONDOMINIO PUERTA DE LA BAHIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009070071",
            "telephone_number": "939-282-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ VALEDON",
        "first_name": "LAURA",
        "middle_name": "PAOLA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8274",
            "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 18, 2024; 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.